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Last Modified: 2/9/2012
Location: FL, PR, USVI
Business: Part B
CO 182
Procedure modifier was invalid on the date of service.
(THIS CODE IS NO LONGER VALID. RESUBMIT WITH THE CORRECT CODE)
Resources/tips for avoiding this unprocessable claim
This return occurs when outdated procedure codes are billed or the wrong modifier(s) are applied to a particular procedure code.
• Before submitting your claim, ensure you use the most current year's CPT codes and modifiers.
• Providers can utilize the First Coast Service Options Inc. (FCSO) PC-ACE Pro32™ software to avoid this returned claim. PC-ACE Pro32™ software is updated with the most current CPT codes, to help you avoid submitting claims without a valid CPT code. The software does not implement or check against billing guidelines, but will help avoid a claim completion error. Click here for additional information on PC-ACE Pro32™.
• Verify the procedure codes and modifiers being billed are payable and allowed under the Medicare program for the date of service being billed.
• Submit separate claims for services in different years of service. A procedure code or modifier valid in one year may not be valid in the other and will cause the entire claim to reject or deny.
• The FCSO Medicare provider Web site has links addressing local medical coverage. Specific codes and data may be found within the local medical coverage Active/Future/Retired LCDs, including indications and limitations of coverage or medical necessity.
• The Centers for Medicare & Medicaid Services (CMS) provides quarterly updates to some procedure codes and modifiers. Although the codes may be valid, they may not be valid for the dates of service you are billing.
• Quarterly updates occur in January, April, July, and October and are posted at the CMS Healthcare Common Procedure Coding System (HCPCS) Quarterly update website 
.
.• The FCSO PC-ACE Pro32™ software is updated with the most current Current Procedural Terminology (CPT) codes, to help you avoid submitting claims without a valid CPT code. The software does not implement or check against billing guidelines, but will help avoid a claim completion error. Click here for additional information on PC-ACE Pro32™.
Tip to correct the unprocessable claim
Resubmit the claim with a correct and current CPT code and/or modifier for the date(s) of service.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
