Wiki Do you add MOD 59 to a sono with a Comp (99385) visit?

Mnmark442

Networker
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Hi,

Pt came in for Comp visit 99385 with a pap (Q0091) and TV sono (76830)
99385-25, Q0091, 76830-59?

Thank you
 
Hi - Medicare practitioner NCCI doesn't have edits for those codes, so modifier use may come down to individual payer preference on reporting separate services. You may want to post in the forum for the specialty because they may have more insights into proper reporting for the encounter, especially if you can specify the payer and perhaps explain the circumstances supporting the 76830.
 
Hi - Medicare practitioner NCCI doesn't have edits for those codes, so modifier use may come down to individual payer preference on reporting separate services. You may want to post in the forum for the specialty because they may have more insights into proper reporting for the encounter, especially if you can specify the payer and perhaps explain the circumstances supporting the 76830.
Thank you so much!
 
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