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Modifier 2 cannot be the same as Modifier 3 or 4

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Rejection Message

Modifier 2 cannot be the same as Modifier 3 or 4

Rejection Details

This rejection has three possible causes:

  1.  Invalid modifier either on a global or payer level. Modifier codes are formatted as two alphanumeric digits.
  2. Missing or duplicate modifiers submitted.
  3. Invalid procedure and modifier combination.

If the modifier is not available in Kareo, create a new procedure modifier code, then follow the instructions below.

Resolution

Resolution steps will vary depending on the cause:

If the modifier is invalid or a duplicate, follow the instructions below to edit the modifiers included on an encounter:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Double-click on the Encounter number. The Edit Encounter window opens.
  4. Click into the Mod cell and replace the modifier, as needed.
    • To delete a modifier, select the modifier and click Delete on your keyboard.
  5. Click Save & Rebill.

Then, resubmit all affected claims.

 Encounter_Mod1.png

If the procedure code is incorrect, follow the instructions below to change the procedure code listed on a claim:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Double-click on the Encounter number.  The Edit Encounter window opens.
  4. Click into the Procedure cell and replace the code with a valid code.
  5. Click Save & Rebill.

Then, resubmit all affected claims.

 Encounter_Procedure.png

If the procedure code needs to be removed, follow the instructions below if the procedure code needs to be removed from the claim:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Click Action > Void > Apply.
  4. Click Save all the way out.

Then, rebill and resubmit all affected claims.

 Claim_Void.png

Tip: Most 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 code questions.