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Tag Archives: BCBS

BCBS Modifier Denials

Is anyone else getting denied for claims with modifier 25, 58, and/or 59?
Denial reason: The procedure code is inconsistent with the modifier used or a required modifier is missing.

Every single claim we have submitted this year is getting denied. I have submitted claim reviews with medical records and it has been over 60 days. The claim reviews are still processing. I wanted to see who else is having the issue and what steps are you taking to get the claims paid.

Medical Billing and Coding Forum – Podiatry