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preventive child

  1. A

    59 modifier on 96110

    We are seeing denials from Cox Health Plans for 96110 billed with a 59 modifier. For example, 99392, mod 25 90460 90633 96110 mod 59 The M-CHAT/autism evaluation questionnaire is only done at WCC visits at 18 and 24 months, so should be considered a distinct service, correct? They aren't...
  2. E

    Wiki Child Well Visit with Sick Visit

    We have sent several claims to the insurance since they do not pay us for the child well visit along with the sick visit which they do. We have used the modifier 25 alone, then only AM and finally 25 and AM together in CPT 99391 but the insurance still continues to deny preventive child care...
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