#255845
niermanpm
Participant

Hi Aurora! Great question! It should not matter that auth & gap were obtained from different places, many insurers outsource those services these days! Here”s what I would do as far as putting them both on the claim: Go ahead and put the authorization approval number in field 23. For the gap exception, enter that approval number into field 19, and indicate it is for the E0486 You certainly could put them on separate claims as well, but doing it as described above should do the trick 🙂 And good thinking on the modifier 51 & 59, however as you mentioned, i don”t think it”s appropriate for this scenario, so just be sure to use your usual modifier on the E0486! (modifier NU). Hope this helps!