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Wiki 96116 and AH modifier

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Triesen1

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Hoagland, IN
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FYI, This is for a 2018 claim before the changes to behavior health coding. We are getting a denial from Medicare for invalid or missing modifier when billing 96116, AH and 96118, AH. The 96116 is denying as invalid or missing modifier.

Is the AH invalid on this code or am I missing a modifier? Thank you!
 
Hi.

If you are billing 96116 or 96118 with an E&M, the correct modifier to append if 59. AH modifier is not needed.

Hope this helps
 
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