Why was my office visit denied when billed on the same surgery date of service?


Answer:
Modifiers may be required to receive payment for some evaluation and management (E/M) services, if unbundling is not evident. Please review the CMS Global Surgery resource listed below and refer to the Modifier Lookup Tool that is located on Palmetto GBA’s website for further direction regarding your billed date of service.

Resources: CMS MLN Global Surgery Booklet





Last Updated: 06/26/2020