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Click here for more sample CPC practice exam questions and answers with full rationale

Anthem BCBS Denying 2nd Eye Cataract Surgery

Is anyone having issues with Anthem denying/rejecting the second eye cataract surgery within global of the first eye as "modifier used is inconsistent with procedure?"

66984 – RT w/ ICD-10: H25.811
66984 – 79, LT w/ ICD-10: H25.812

We have never had issues before and cannot get through to a live provider or customer service rep. Thank you for any suggestions.

Medical Billing and Coding Forum