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Last 10 Posts (In reverse order)
Guest Posted: Monday, December 3, 2018 10:44:06 PM(UTC)
 
Message was deleted by a Moderator. | Reason: Not specified
courtneydsnow Posted: Monday, June 26, 2017 7:52:27 AM(UTC)
 
Hi CODCLAKE!

You are correct - NU is the appropriate modifier to use when billing E0486 for custom made oral appliances for OSA. NU stands for "new equipment", which indicates a purchase of a piece of DME rather than a rental.

If you would like to give me the name of the insurer, I would be happy to see if I can locate their medical policy for oral appliances for OSA to see if their policy offers any coding information that may shed some light on the denial.
CODCLAKE Posted: Thursday, June 22, 2017 1:15:32 PM(UTC)
 
I am using Modifier NU for New unit when I am billing for E0486 and I have now received 2 denials that say.... DME must be billed with the appropriate rental or purchase modifier and guidelines were not met.

I only know to use this modifier, is there something different I should be doing?

Thank you

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