Wiki Billing Infusion

[ymartinez87]

Billing same date CPT 96368 and CPT 96413 which modifier is the correct modifier, 59 or XU. Please advise. Thanks.

 

[sls314]

Billing same date CPT 96368 and CPT 96413 which modifier is the correct modifier, 59 or XU. Please advise. Thanks.

There isn't a CCI edit between those codes. 96368 is intended to be billed with one of (96365, 96366, 96413, 96415, or 96416)

Is there a specific reason that you think you need a modifier? Has a service been denied, and if so what was the denial code?

What is the service actually being performed?