tiffanyjones
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I need some clarification on 59 modifier. here's the scanario... patient comes in for regular office visit (99213) he decides to also do osteopathic manip (98927) and give injection (j1100) admin (96372) So we place 25 modifier on office visit. Osteopathic Manip and Office Visit pays fine but Medicare denies (96372) saying that it bundled with (98927) and when i called medicare they told me to put a 59 modifier on the (96372) Can anyone point me to something to clarify why the 25 modifier would not be sufficient?