Medicare seems to be denying 93000 (EKG) more than usual. Should I be using a modifier? The denial code is 16: Claim service lacks information, which is needed for adjudication.
Question: Medicare seems to be denying 93000 (EKG) more than usual. Should I be using a modifier? The denial code is 16: Claim service lacks information, which is needed for adjudication.
Answer: Given the denial code, I don’t think coding is at issue. But apparently, there is some information that is missing on the claim. Look for a remark code on the far left side of the paper remittance. This will advise you about what is missing or incomplete.
Lead through crisis with confidence: A health care leader’s playbook for resilience and reputation
May 6th 2025Proactive crisis readiness equips health care leaders to navigate today’s permacrisis era, protecting brand reputation, sustaining patient‑care continuity, and preserving stakeholder trust when disruptive events strike.