We recently got a new Medicare MAC which is Palmetto. I am now getting denials for cpt 61630 & 61635 stating I am missing a required modifier. This wasn’t required with our old MAC. I’ve talked to Palmetto several times to no avail as to where to look for the appropriate modifier. I know these are restricted codes, but I’m at a loss of which modifier I need. Any help would be greatly appreciated.

Thanks,

Lori Neely, CPC