Wiki Medicaid denying due to modifiers!?

[mcarter1017]

Hi everyone. need some help..we are billing 99213-25 and 11423- RT 59, to Ohio Medicaid. They are denying CPT 11423, stating invalid procedure code modifier...I am unsure if they don't like the RT or the 59 or both???? Help!

 

[mitchellde]

RT is invalid as this is skin procedure and skin has no laterality. 59 is not needed as there is no other procedure performed and you have the 25 on the E&M to make it distinct and separate.

 

[mcarter1017]

Thank you!!