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#1
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I know that it is not appropriate to use modifier 51 with add-on codes. Is the same true with modifier 59? I have gotten a 2nd denial for 95886 as "not a valid code". It was billed with 95904 and no modifier appended.
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#2
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This code is new for 2012 so you may want to check and make sure the insurance company has updated their fee schedule.
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Doreen Clark, CPC, CPMA Medical Auditing Specialist Integrated Physicians Management Services East Harftord. Ct |
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#3
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I add modifier 59 to nerve conduction codes only. Leave 95886 w/o modifier. I received payment fine so far from payers.
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