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Wiki denial for vaccine administration

dragonclawz70

Networker
Messages
38
Location
Grand Isle, VT
Best answers
0
We've gotten some denials from BCBS stating "procedure inconsistent with modifier used or modifier is missing". We're billing a flu shot (90656) and the administration (90471), some of the denials are only a flu shot with no office visit, a couple others are with an office visit which we have put the 25 modifier on. The only modifier I know of would be SL for a state supplied vaccine but the flu shot we're billing for is not state supplied. Does anyone else know of another modifier? Thanks for any help!
 
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