Acupuncture denials for "frequency"

tobinc2tobinc2
edited May 2023 in BILLING AND CLAIMS

We provide acupuncture services at a hospital-based outpatient department. Both the physicians' pro fees and our technical charges are being denied by CMS due to "frequency" even when the patient has only been seen a few times. Is anyone else experiencing this? If so, what was the resolution? Do we need to add modifiers -TC and -26 to inform CMS that the charges on the same DOS are for separate professional and technical components?

Any assistance is greatly appreciated. Thank you.

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