Wiki modifier help please

TLC

Guru
Messages
209
Location
Fallbrook, CA
Best answers
0
A patient came into the office for a physical. They ended up having a couple of procedures done also. Dr. billed a 99396,11100/11101x1 17000/17003x1,
90736.
I entered as such.

99396-25
11100 (no modifier I thought -25 would show something was else done)
17000-59 (seperate procedure)
90736 (no modifier)
11101 (no mod "add on" code)
17003 ( no mod "add on" code).
Blue cross ppo denied the 11100 for needing a modifier. Is my billing incorrect and if so what to I need to do. Any help Thank you.
 
Why the 17000 first and then the 11100 I didn't realzied it mattered. I was taught to put the "highest" value procedure first. Thanks
 
Top