code 17110

brvr34

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Hello, i'm trying to bill Medicaid for 99214-25, 078.19,17110 and it got denied do i need a modifier what i'm doing wrong? i tryied modifiers 57 or 59 and still got denied. Please help. Thanks
 

dmaec

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hmm...really? A level 4 visit with a wart removal? What's the denial reason? Does documentation really support the services?
 

tennislaurie

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When in doubt, you can always call the payor if the denial reason code does not make sense to you. You would, of course, only use modifier -57 on the E/M if it was a decision for major procedure, not minor procedure such as this one. A level 4 does sound high but without the note posted.......
 

daniel

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Appedn modifier AG. With CPT 17110 or any surgery dealing with medicaid.

Bill as such.

99214 no modifer 25 needed. But you can use it. Doesnt matter with medicaid
17110-AG

Daniel
CPC
 

daniel

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mbort
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The AG modifier applies to surgical procedures, or even simple ones like Cryosurgeries. It was brought to my attention by one of my co-workers here at work. He's a collector, very familer with the guidelines dealing with medi-caid. I'm out of California (southern). Don't know if that matters.

Respectfull
Daniel
CPC
 
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