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Procedure Code Modifier(s) for Service(s) Rendered Acknowledgement/Rejected for Invalid Information

Rejection Message Rejection Details Resolution

Procedure Code Modifier(s) for Service(s) Rendered Acknowledgement/Rejected for Invalid Information

Payer Rejection:

This rejection indicates that (per the payer) one of the procedure (CPT/HCPCS) modifiers submitted on the claim was invalid for the date of service
being billed.

Submitter Action:

Please verify that the procedure modifiers included on the claim are valid for the service date per payer billing guidelines.

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 code questions.

Follow the instructions below to edit the modifiers included on an encounter:

  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 Mod cell and replace the modifier, as needed.
    • To delete a modifier, select the modifier and click “Delete” on your keyboard.
  5. Click Save and Rebill.

Then, resubmit all affected claims.