United Healthcare Denying 98943 with the -51 modifier

Posted in July 2014 by Dana Ellis

Recently United Healthcare has begun denying CPT code 98943 when appended with a -51 modifier.

After some investigation, we found that United Healthcare performed a system update which has caused the denial of claims filed with the CPT code 98943 with a -51 modifier. The ultimate impact has just begun for those providers who have continued to use that code with the -51 modifier.

The only remedy is to submit a corrected claim after removing the -51 modifier.

In the meantime we recommend that all providers carefully watch their EOB’s (Explanation of Benefit’s) for the denial of this CPT code. 



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