Wiki Billing 92018 w/injection

MYAEKEL

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Grand Rapids, MI
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Does anyone have any suggestions for billing 92018 (Ophthalmological examination and evaluation, under general anesthesia) with an injection (ex. 67515)?
When we file these codes to insurances w/-25 mod on 92018 it comes back as invalid, but without it we keep getting denials as included & have to appeal. This is a documented separate service & is payable. Is there a different modifier this should be billed with?
 
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