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96137 unit exceed mue's

S

schacon

Guest
Messages
47
Location
Santa Ana, CA
Is anyone getting denials for code 96137. I'm getting denial for this code ,because the psychologist is billing over 11 units.
this is what was billed
96132
96133x5
96136
96137x12
 
According to CMS the MUE is 11 but the modifier adjudication indicator is 3 so you can appeal the denial.
 
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