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Wiki Medicaid denying due to modifiers!?

mcarter1017

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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!
 
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.
 
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