April Posted Mon 16th of February, 2015 14:09:13 PM
Recently I have received a couple of denials from Medicare on CPT code 93458 -26. Stating that the modifier is incorrect or inconsistant. I've never had a problem billing this service with the modifier. Is there another modifier to use or am I correct in using the right modifier since we are billing for the professional component?
SuperCoder Answered Tue 17th of February, 2015 03:19:05 AM
You are correct in billing this code with modifier 26. Please contact the Medicare and ask for proper explanation.