Medicare disallowed amt

ladiesnoopy

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My office billed medicare for office level 99213 as well as 10060 for an I&D. We used modifier 25 with the 99213. We billed $275.00 for the 10060. Medicare disallowed $254.89. Does anyone know why, did we do something wrong??
Should it have been modifier 59??
 

armen

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Atlanta
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My office billed medicare for office level 99213 as well as 10060 for an I&D. We used modifier 25 with the 99213. We billed $275.00 for the 10060. Medicare disallowed $254.89. Does anyone know why, did we do something wrong??
Should it have been modifier 59??
if it would be issue with -59 they would not pay at all, they would say that it is included in the allowance of other procedure.
 
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