Wiki if 25 does not cover 2 or 3 procudures,what to do?

[southbaymed]

Please helps us: two issues
1. He is DO: 99213-25, 98926, J0696 & 96372.....always denied 96372
as included w/another procedure. BUT not.

2. Internal medicine: 99213-25, 10016, 90718, 90471, J0696 & 96372....
again 96372 is denied as included w/another procedure.

What modifier to append? 59 or 76

Thank you

 

[twiegel24@yahoo.com]

I would do the 59 on the 96372 because the 90471 is for the immunization of the tetanus and the 96372 is for a theraputic injection.

 

[cmcgarry]

In the first case (the DO) 96372 is bundled with the manipulation, 98926. It is, however, allowed with a modifier if applicable.

 

[mkj2486]

When I have more than one procedure in a session I check the CCI to see if they bundle.

96732 and 98926 bundle need modifier on 96732

10016 is not a valid code....do you mean 10061

96372 and 10061 bundle as well....need modifier on 96732

 

[southbaymed]

Thank you for everybody.
Yes not 10016, 10061.
Anyway 96372... cann't be alone