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Wiki Pulmonary function tests

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Shortcakecoder101

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Hi, I need some help! We billed the following codes. 99214 w 25 mod, 94010, 94727, 94729 and 94618. All codes pd except for 94010. Would it be ok to use a 59 modifier?

Thanks so much!
 
The 94010 has the lowest RVU, so I would say try it. Although, everything I have looked at indicates no modifier is needed. Has anyone called to inquire with the insurance company first? Good luck!!
 
I see this all the time and see no reason why 94010 would be denied unless there is a Payor specific issue. I have never seen it denied in my office so far and I see 94060 or 94010 billed all the time with 94729 and 94726 and 94618. No, you shouldn't need a modifier for any of those codes.
 
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