multiple modifiers

[jswjr1]

If you have more than one modifier in a HCFA 1500, how do you put it on since there is only one box, but under the preview of the HCFA there are multiple boxes available

[eyeone]

can you give an example of where multiple modifiers would need to be on the same CPT line?

i will then ask my insurance staff members - they may have an idea or two

[jswjr1]

How come this got ignored on the new update? So for all my cataract comangement patients I should not bill medicare because the program I use does not allow for multiple modifiers. Or should I just fill out the HCFA by hand and mail it out and wait 3 months.

[MVEFORUM]

You can type multiple modifiers into Charges tab (maximum of 4). e.g. 55RT or 55LT

[eyeone]

another idea that came to mind is when billing punctal plugs you have E1 E2 E3 or E4 on the first line but one of these with 51 on the 2nd, 3rd and 4th line of the claim

This question is for MVE Forum....
with only 4 spaces we may be denied as you listed 55RT is an invalid number
55 is OK
RT is OK
but
55RT would likely be denied
can you check into this?
if your assumption is correct, all is well and no action is needed
if not, My Vison Express has no way of billing services where multiple modifiers are necessary
would we need 55,RT?  or 55 RT?  perhaps the MVE contact within GatewayEDI can clarify?

[MVEFORUM]

If printing on the form they are spaced out
If sending electronically we separate them out internally.

Each modifier is two letters so we separate them internally.

e.g. E1E2E3E4 will print or transmitted as E1 E2 E3 E4

Each claim line has it own set of modifiers.


Hope that helps

another idea that came to mind is when billing punctal plugs you have E1 E2 E3 or E4 on the first line but one of these with 51 on the 2nd, 3rd and 4th line of the claim

This question is for MVE Forum....
with only 4 spaces we may be denied as you listed 55RT is an invalid number
55 is OK
RT is OK
but
55RT would likely be denied
can you check into this?
if your assumption is correct, all is well and no action is needed
if not, My Vison Express has no way of billing services where multiple modifiers are necessary
would we need 55,RT?  or 55 RT?  perhaps the MVE contact within GatewayEDI can clarify?

[jswjr1]

I submitted modifiers such as E1 59  , wrote in the modifier box 'E159'

got rejected by my clearing house secure EDI, here is the msg.

PROCEDURE MODIFIER   X12 HIPAA Validations   THE LENGTH OF SUB-ELEMENT IS '4'. THE MAXIMUM ALLOWED LENGTH IS '2'.   E159   1
 
 PROCEDURE MODIFIER   X12 HIPAA Validations   VALUE OF SUB-ELEMENT SV101-03 IS INCORRECT. EXPECTED VALUE IS FROM EXTERNAL CODE LIST - HCPCS CODE MODIFIER (130) WHEN SV101-01='HC'.   E159   5
 

[MVEFORUM]

are you submitting in ANSI or Print Image format?