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Acknowledgement/Rejected for Invalid Information Procedure Code-XXXXX Modifier(s)-XX SVC Line Response - Procedure Code Modifier(s) for Service(s) Rendered Procedure Code-XXXXX Modifier(s)-XX SVC

Rejection Message Rejection Details Resolution

Acknowledgement/Rejected for Invalid Information Procedure Code-XXXXX Modifier(s)-XX SVC Line Response - Procedure Code Modifier(s) for Service(s) Rendered Procedure Code-XXXXX Modifier(s)-XX SVC

The submitter should contact the payer to review the billing rules: Specifically, find out from the payer if the procedure code/modifier combinations listed on the claims are allowed.

Tip: Most Kareo PM subscription levels include access to a free code scrubbing tool on the Encounter. Utilizing this feature for all encounters can help prevent code rejections. 

Note: Kareo Support cannot provide coding assistance. Please contact your biller/coder with any CPT or ICD coding questions.

 

Follow the instructions below to edit a procedure code or modifier:

  1. Click Encounters >Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. On the Edit Claim window, double-click on the Encounter number.
  4. Click into the Procedure cell and replace the CPT code, as needed. 
  5. Clink into the MOD cell and replace the modifier, as needed.
    • To delete a modifier, select the modifier and click "Delete" on your keyboard.
  6. Click Save and Rebill. 

Then, rebill and resubmit all affected claims.

Follow the instructions below if the procedure
code needs to be removed from the claim:

  1. Click Encounters >Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. Click Action > Void > Apply.
  4. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.