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Wiki BCBS Bundling 99396 into OV and Procedure?

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beck123

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Hi all,
My provider billed
99396
99213-25
Q0091-33
17110-59


at one visit. BCBS allowed everything but the 99396. I checked the CCI edits, and it said we only really needed a modifier on the 99213, 25. I've seen this happen before, I'm just not sure what we're doing wrong.

Why are they not paying the 99396? Are we just using too many modifiers or what? Or should I just tell providers not to do procedures at physical exams?

Documentation does stand up for everything she billed.

Thank you!
 
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