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Hello Coders!
From all my Medicaid plans are all denying 97530 with 97140. However, I do have the modifier 59 attached to the 97530. They say it is denied because of NCCI edits. I reviewed the NCCI, but it does not look like they changed the rule. Has anyone else come across this problem? I get told just appeal, but it will be denied anyway. It is a maddening situation.
Stephanie
From all my Medicaid plans are all denying 97530 with 97140. However, I do have the modifier 59 attached to the 97530. They say it is denied because of NCCI edits. I reviewed the NCCI, but it does not look like they changed the rule. Has anyone else come across this problem? I get told just appeal, but it will be denied anyway. It is a maddening situation.
Stephanie