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

DME Billing to Medicare-HELP!!!!!!

Hi!

I’m getting continuous rejections from Medicare for DME products. For example, I’ve billied L4361(Walking Boot) with and without mod NU, RT/LT and without a modifier but Medicare denies the claim saying "procedure code is inconsistent with modifier used or a required modifier is missing". I just submitted the claim to DMERC with a KX mod in hopes that it gets paid.

Am I missing something?

Thanks in advance!
Giselle
New to Ortho billing.

Medical Billing and Coding Forum