FEB 03, 2017
Noridian Denials for 66821 Yag Capsulotomy with POS Office
Many practices in Noridian states report denials for 66821 Yag capsulotomy claims that list the office as the place of service. Noridian phone staff are erroneously telling practices to append modifier -50 or even -55.
After working with several state ophthalmological societies, Noridian acknowledged the error and is working to correct it. Noridian has not yet said if you'll need to resubmit such claims or they will automatically reprocess them. Continue to submit 66821 with the eye modifier -LT or -RT. We'll keep you posted as we learn of the next step to achieve payment.
Learn more about how to appropriately code 66821 in Coding Coach.