Forum - Questions & Answers
May 20th, 2011 - SUBBIAH
Billing CPT® 96401 to Missouri Medicaid
My provider billed two units of 96401 to Missouri Medicaid. the claim denied for incorrect units stating the allowable unit per day is one. per medicaid representative if the provider adminstered two units of chemo drug CPT® 96401 needs to be billed under two line item . Need clarification on the below;
1 if 96401 is billed under two line item do i need to append any modifier
2. Does Missouri medicaid policy wants 96401 needs to billed under two line item
your advice will be highly appreciated,
Thanking you in advance