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

Fracture Care

Can anyone help with this one?

Coded a fracture with a fracture care code it was submitted to Gateway Health Plan, they denied and their reason is:

"The procedure code is inconsistent with the modifier used or a required modifier is missing"

I did not use a modifier and I can not see where one is needed.

Any help is appreciated.

Thank you,
LLR

Medical Billing and Coding Forum