Wiki Qualifying Procedure or Modifier Issue?

[kfrycpc]

I had billed the following for outpatient wound care:

99203 - 25
97597 - 59
29580

The 29580 was denied for "lack of qualifying procedure". I don't know why. I believe I have the modifier 59 correctly placed on 97597 as that has the lower RVU. Any idea on what I did wrong on this one? Is this a modifier problem or something else?

Thanks!

 

[cjhalk@yahoo.com]

what are your diagnosis links to each cpt code?

 

[Cyndi113]

Your modifier should go on the 29580. It actually has the lower RVU.

 

[kfrycpc]

what are your diagnosis links to each cpt code?

707.10
250.71
459.89

 

[kfrycpc]

Your modifier should go on the 29580. It actually has the lower RVU.

I have 29580 as having an RVU of 0.55 and 97597 an RVU of 0.51