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.
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.