Code/Modifier Combination Denials

July 13, 2012

An issue was identified recently where certain service code/modifier combinations were not recognized as appropriate combinations for some claims with dates of service between 09/01/2010 and 09/30/2011. These denials were reported on the Remittance Advice with the Claim Adjustment Reason Code 182- “procedure modifier was invalid on the date of service.” The MIHMS Edit Rule 508- “invalid modifier code on Date of Service” will appear in the portal.

This issue has been corrected. Claims which were denied in error have been identified and will be reprocessed. Providers do not need to resubmit these claims.