Code 96116

sbittar35

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For the same date of service I have this two procedures 99242 and 96116 do I use modifier in this case?
POS is 22, can you help me because Medicare denial my claim.

Thanks,
Silvia
 

mkj2486

Guru
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Yes, you would need a modifier according to CCI edits it would go on 96116. You will have to be sure that both codes are supported by the documentation and that the consult meets all the requirments.
 
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