jennaduncan
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I need help. I work for an internal medicine practice and pt came in for blood work to check CMP and thyroid, he has a history of high cholesterol and hypothyroid. He also complained of ear stuffyness and the exam showed an impacted cerumen, which was removed. BCBS paid for the 69210 but bundled the 99214 and all the lab codes into the 69210. I have tried mod 25 on the 99214( which was denied),then 59 on 69210 and sent a copy of the records, but still they say that 99214 is disallowed with 69210....