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Wiki Modifier with 81003 and go477

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Mount Pleasant, TN
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If we are doing a Drug Screen and a Urine dip with a possible UTI or other Urine issues, Is there a modifier that can be used showing they are totally separate. We have used 59 and 91 and both were denied. thank you for any help...
 
59 would be the correct modifier (91 means the exact same test was performed), but some payers interpret the definition of the G codes to mean NO interpretive tests are allowed, ever. It may work to submit an appeal explaining in detail the patient's symptoms etc that made the separate UTI necessary.
 
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