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Wiki Billing CPT code 96401

Thread starter NESmith
Start date Sep 29, 2010

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NESmith

Expert

Sep 29, 2010

We have a patient that was given an administration of Cimzia in both left and right thigh. We billed the CPT code with 2 units but are only getting paid for one and the other unit is denying as inclusive. Should this have been billed 96401 x 1 unit and 96401 x 1 with modfier 76 or 96401 x1 unit modifier 76/59? Please advise. Thanks

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