Wiki 99406 denial

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Twins2018

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I am getting a denial from Medicaid as secondary to Medicare. Primary Cpt Code 99309 (NURSING FAC SUBSE DETAILED) was paid by Medicaid. Medicaid is denying Second cpt code 99406 for POS. POS is 31 for this provider for both codes. Is this POS for this code not payable per Medicaid guidelines for this cpt code? Has anyone had this issue?
 
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