CPT irregular with Modifier denialcode CO-4 #medicalbilling #coding #claim #insurance #healthcare

Treatment irregular with Modifier rejection code CO-4 #medicalbilling #coding #claim #insurance #healthcare #patient #denialmanagement #denial #modifiers #modifier
https://youtu.be/CrM8PVHlJw4
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#MODIFIER: The 2 digit code, that offers an extra details to the service/treatment/ treatment (CPT code) without altering the initial significance of the service.

Mod Format: 2 digit Numeric or 2 digit Alpha or 2 digit Alpha Numeric.
The constant relationship of CPT-MOD assists to Providers by getting payments from Insurance business.

Example: 93010-26, 93010-TC, 93010-LT, 93010-RT, 93010-50, 99213-24,99213 -25 … … and so on.
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* The inconsistence relationship of CPT-MOD is the factor to reject the claim specifying CO4: Cpt code irregular with Modifier.
Pre-call analysis: -Proper analysis needed, validate previous Dos.
AR Caller: Probe if formerly DOS got payments & request legitimate Modifier, take claim #, call ref #, close the call.
Action s: 1. Job to CODING ASSISTANCE/Review (with AR caller notes).
2. RESUBMIT the fixed claim with legitimate CPT-MOD relationship.

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https://medicalbillingcertificationprograms.org/cpt-irregular-with-modifier-denialcode-co-4-medicalbilling-coding-claim-insurance-healthcare/