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Wiki 98942 Chiro tx and 97124 Chiro massage on same day/same region

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nancy.a.wood@state.or.us

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Salem, OR
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I see there is a NCCI edit for the combination codes unless there are "appropriate circumstances". How do I, as an auditor, determine the appropriateness of using the 59 modifier so both codes will pay?
For my review, this appears to be common billing in this practice and no documentation as to why.
 
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