Dharti87
New
Cpt 99177 comes back denied when submitting with an office visit, even when submitted with a 59 mod. Any suggestions on how to get this code paid?
CPT manual states that it is not to be billed with an office visit (I assume the office visit you're referring to is 92002-92014). The P2P Edits on CMS' website states it is bundled with the exam also. Commercial payers may have age restrictions on the code as well. It would be helpful to know which carrier you are billing and what are the adjustment codes you are receiving on the remit.
We bill it out not with office visits I'm sorry I meant with well visits 99391-9939*, and It mostly BCBS that denies it with codes CO4, N519 (if submitted with imms and such we have to add modifier 59 to distinct it)