mnuhfer04
Networker
Hey all! I used to be able to bill a pt eval 97164 w/mod 59 and then also bill therapeutic exercise (97530) and get paid for both. Recently I have been getting paid only for the 97530 and denied the re eval stating "NCCI Denial for Column1/Column II Procedures with Claim Validation". I've tried looking up the NCCI edits to see if something changed where we can't bill both on the same day, but I didn't find anything (unless I missed it). Anyone have an input on this? Thanks!