Rank: New Member
Joined: 3/24/2017(UTC)
Posts: 1
|
I am using Modifier NU for New unit when I am billing for E0486 and I have now received 2 denials that say.... DME must be billed with the appropriate rental or purchase modifier and guidelines were not met.
I only know to use this modifier, is there something different I should be doing?
Thank you
|
|
|
|
|
|
Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,732
Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
|
Hi CODCLAKE!
You are correct - NU is the appropriate modifier to use when billing E0486 for custom made oral appliances for OSA. NU stands for "new equipment", which indicates a purchase of a piece of DME rather than a rental.
If you would like to give me the name of the insurer, I would be happy to see if I can locate their medical policy for oral appliances for OSA to see if their policy offers any coding information that may shed some light on the denial.
|
|
|
|
|
|
Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
|
Message was deleted by a Moderator. | Reason: Not specified
|
|
|
|
|
|
Forum Jump
You cannot post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.