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Wiki modifier and add-on codes

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krssy70

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East Providence, RI
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Hello All,

I have a payer that keeps demanding for us to put a modifier on the add-on code of 96375. I know as a coder that add-on codes do not require modifiers.. Does anybody know where on Medicare's website says that add-on codes do not get modifiers?

Thank you, Please send link if possible. :)
 
I believe add-on codes can have modifiers, but of course not -51. You mention Medicare, well, years ago, I used to bill Empire Medicare (NYS+) and they never mishandled modifiers and would even sometimes insert the appropriate modifier if we left it out!...

Does the payor mention the modifier they are searching for?

:)
 
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