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59 modifier on 96110

Messages
13
Location
Springfield, MO
Best answers
0
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 denying PHQ/96127 with modifier 59 at teenagers' WCCs.
 
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