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Hello I wanted to ask some advice on some procedure codes that keep getting denied for payment is there a certain way to appeal these or a certain way to code them together? they are 95886-59, 95903 and 95904 please!!!
Some payors deny the 95904 etc with the -59 modifier, especially BCBS. You can try billing them in units (ie 95904 x 4) which may get them to pay. Otherwise, you may have to appeal them and include the CPT guidelines and NCS report.
The 95886 is an add-on code, so it does not need the -59 modifier, but may need the -50 mod (for Mcare and others) if bilateral, or the -RT &-LT mods if BCBS, in my experience.
I just want to make sure I can code it correctly, because we keep getting either partial payment or a denial, when I code 95886 it is necessary to code 95885 also 95903-59 and 95904?