Wiki denied codes

[vickytia13]

Hello,

I am currently billing for a pediatrics office and the doctor bills out for codes 97802 (medical nutrition therapy), 83655 (lead testing), 36416 (collection of capillary blood specimen, using a finger stick) and 92587 (hearing test), along with the OV E/M code. But mostly none of the claims are being reimbursed, sometimes they get paid but most of the time they are not. Is there a modifier to be used such as a 59 or 24? Is anyone else billing this in their practice?

Thanks in advance.

 

[vickytia13]

Also

Our practice does lead testing for 12 months and 24 months of age, but if the child has not had them done at that age we do two test before they turn 5 years old. We use the cpt code 83655 for the lead testing and 36416 for the finger stick draw with a ICD-10 code R78.71. None are getting paid. Anyone else having this problem? How can we get reimbursed for this?