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


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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