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Wiki Billing 99215,99417,90868

Thread starter Blackhorse
Start date Nov 22, 2022

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Blackhorse

Guru

Nov 22, 2022

When we bill 99215, 99417 and 90868 with Cigna, they will always deny 99417, EOB says "no additional allowance for an office visit related to a surgery or procedures". We use modifier 25 for 99215 but no modifier for 99417. Is the denial because 99417 needs a modifier?

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