Rank: New Member
Joined: 1/14/2013(UTC) Posts: 1
|
I have submitted a claim to United Health Care for an Oral Sleep Appliance. We've spplied codes 327.23 (diagnosis) and E0486 (service). The insurance company is requiring, what they've told me is, a modifier code. They have stated that they follow the Medicare guidlines and that a modifier code is required in this scenerio.
Any suggestions as to what code I should submit?
Thanks
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
Thanks: 39 times Was thanked: 51 time(s) in 51 post(s)
|
Hi dentlc01!
The two modifiers that Medicare requires for E0486 are:
NU - to indicate the oral appliance is new durable medical equipment KX - to indicate the patient meets all Medicare qualifying criteria for E0486 (i.e. diagnosed with OSA AHI 5+, if severe has tried and failed CPAP, etc)
Hope this helps!
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
Forum Jump
You cannot post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.