Wiki Need help with Billing 36415

[mauadajar]

I dropped a claim for Aetna Better Health.

99214,25 and 36415

E/M got paid, 36415 got denied.

I re-dropped 99214 and 36415 - denied

They said that I am missing a modifier for 36415.

I re-dropped again, 99214,25 and 36415, 59. - denied again.

Which modifier should I attach to 36415?

Please help.....

 

[tsmith30]

Modifier

A modifier is not needed for 99214, 36415. Possbily the diagnosis??

 

[mauadajar]

We have several claims for different Pts and they all came back. ABH told me that I need to attach a modifier next to 36415. Of course, she refused to tell me which modifier.

 

[chornbuckle]

try modifier 90 to 36415. That should get it paid