Wiki 97032, 97112

[amberleia11@gmail.com]

Hi all, I keep getting denial msg "the procedure code is inconsistent with the modifier used or a required modifier is missing" from Medicare for both 97032 & 97112.

they are being billed by an internal medicine m.d.

I have tried billing w/ modifier 59 and with no modifier at all, and recd this denial each time.

What modifier do i need to be using?? Please help!!!

 

[tdml97@yahoo.com]

What other codes are you billing with these?

 

[amberleia11@gmail.com]

An OV usually

 

[tdml97@yahoo.com]

Are you putting a 25 mod on the OV with different diag?

 

[amberleia11@gmail.com]

I do put a modifier 25 on the OV, but the primary diagnosis is the same sometimes.