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Primary Care Coding Alert

Reader Questions:

Take Time to Go Back Over This ACP Bill

Published on Thu Oct 15, 2020

Question: Medicare just denied our bill for 99497, 99498, and 99498, saying that the second 99498 is duplicate even though the codes are appropriate for the time documented, which was 80 minutes. Do we need a modifier for the second 99498, such as modifier 52 to indicate that the planning did not last for a full 90 minutes? And if not, [...]
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