cpt 97530 & 97537

camedbill

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We have been denied my Medicare that these codes are mutually exclusive. Are there any modifiers that we can use to clear these edits?
Thank you in advance for your help
 

mitchellde

True Blue
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Columbia, MO
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Yes you CAN bill with the 59 modifier but SHOULD you is the real issue. It will depend on the visit and the documentation at to whether you can bill both services with a modifier. Never append a modifier just because you can, ALWAYs check the documentation first. So given that what is the documentation for you encounter?
 
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