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Can you bill 97129 and 92507 together.

R

rldumond

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Windham, ME
Claim is being rejected. Can a modifier be used?
 
Yes, you can bill 97129 (Therapeutic intervention that requires the application of highly specialized knowledge and skills) and 92507 (Treatment of speech, language, voice, communication, and/or auditory processing disorder) together, but it is important to ensure you're using the proper modifier and meeting the specific billing guidelines.

In this case, you can use the modifier 59 (Distinct Procedural Service) to indicate that the two procedures are separate and distinct from one another. This tells the payer that both services were provided independently, and not as part of the same session or service.

Example:​

  • 97129 - Therapeutic intervention (primary code).
  • 92507-59 - Speech therapy (secondary code, with modifier 59).
This should resolve the rejection, but remember to check the payer's specific rules for billing and modifiers, as some insurers may have different policies.

Additionally, CodeBooks can assist you in quickly finding the right codes and modifiers, reducing billing errors and rejections. It can also help you stay updated with payer-specific guidelines. I am sharing you the tools link here, it can also help you. https://codebooks.rapidclaims.ai/
 
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