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Wiki Modifier 59 help

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campbella1

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IBC stopped paying my claims for 2 e/m's (an office visit and preventive visit) and a flu shot . The claims had a 25 modifier on them but now all of a sudden because of NCCI edits I am being told that I have to use a 59 modifier. Is anyone familiar with this modifier - can you tell me if should be attached to an e/m or the non e/m service.
 
campbella1 said:
IBC stopped paying my claims for 2 e/m's (an office visit and preventive visit) and a flu shot . The claims had a 25 modifier on them but now all of a sudden because of NCCI edits I am being told that I have to use a 59 modifier. Is anyone familiar with this modifier - can you tell me if should be attached to an e/m or the non e/m service.
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When we have this type scenario we use a -25 on the office level and a -59 on the administration code. I hope this helps :)
 
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