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Wiki Billing 96127 & 99406

jbland

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Brooklet, GA
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Good Morning!

I have previously billed 96127 and 99406 together on same day with E/M, and only 1 was paid. I put 25 modifier on E/M. I also put the appropriate dx on each one. Should these both be paid on the same day as E/M? If they are, what modifier on which? if not, can you point me in the direction as to where it says they can not be billed together? I have tried every way I can think of and no insurance has paid for this in the past. I would appreciate any help! Thanks in advance!
 
It may not be the two of them together, it may be that you are billing the behavioral code with a preventive visit, which a lot of insurances won't pay, no matter what your modifier.
 
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