Wiki Modifier 99 - This came up at work and

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Hi,

This came up at work and I was just wondering what everyone else was doing.......How do you use Modifier 99? Is it payor specific in your coding? Under what types of scenarios?

Any feedback is greatly appreciated.
 
I have used modifier 99 soley for california medi-cal. They require you to append the 99 modifier if you need to use more than 1 modifier to describe the service. You then itemize the modifiers in Box 19 of the HCFA 1500
 
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