Remark Code/ Message Number:
• B18: Payment adjusted because this procedure code and modifier were invalid on the date of service
• 4: The procedure code is inconsistent with the modifier used or a required modifier is missing
• MA130: Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable. Please submit a new claim with the complete/correct information.
Resolution
• Review the CPT/HCPCS code narratives to determine if a modifier is needed
• Verify that the submitted modifier is appropriate to be submitted with the procedure code
• Access complete instructions for correctly submitting all CPT and HCPCS modifiers on the ‘Palmetto GBA Modifier Lookup’ Web page:
o Jurisdiction 1: Select ‘Articles’ on the left side of the Palmetto GBA Web page
o Ohio, South Carolina and West Virginia: Select ‘Browse by Topic’ on the left side of the Palmetto GBA Web page.
