90853 done twice in a day trying to get payment for both HELP

runpooka

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2 groups done on same day, different physicians. How to get payment for both.
Previous biller tried adding 59 to both, one got paid, the other got denied.
I rebilled on denied with modifier 77 which got paid BUT then the group with the modifier 59 got denied. Should I try to remove that modifier 59 and rebill or add a modifier of 22?

4 groups same day 2 different physicians.
What is the best way to code all 4 of them?

Signed, frustrated.
 
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