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Pediatric Coding Alert

You Be the Coder:

Distinguish Distinct, Multiple Modifiers in This Separate Procedure Scenario

Published on Tue Feb 19, 2019

Question: Our provider administered an ear lavage to remove impacted cerumen in one of our patients. The pediatrician also administered a steroid injection (J0702) to reduce inflammation. When we billed for the encounter, we billed for a level-four evaluation and management (E/M) encounter for an established patient with modifier 25, but we were denied the injection administration fee (96372) because it [...]
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