Claim Denials for Procedure Codes K0739 and K0740 with Modifier NU

November 14, 2012

If you received a denial for procedure codes K0739 or K0740 with modifier NU, it may have been in error. Effective as of 9/1/2010, if claims with these procedure codes/modifier combinations denied incorrectly for the following reasons, providers may now re-bill affected claims:

  • CARC: 182 - Procedure modifier was invalid on the date of service.
  • MIHMS EDIT: Rule 503 - Invalid CPT Modifier

Please note: Re-submitted claims must meet timely filing guidelines as outlined in Chapter I of the MaineCare Benefits Manual. Please contact your Provider Relations Specialist with questions related to timely filing.