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Wiki Anthem Virginia and 01996

njb3d

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Greenville, VA
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Anthem is telling us they need an anesthesia modifier on CPT 01996 (AA, QK, etc). I'm a new coder, and it doesn't look correct. I'm curious if anyone else is having the same issue? Are you adding a modifier or are you fighting it?
 
If they are following medicare guidelines that is correct. Medical Direction modifier is required and should be in the first modifier position.
 
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