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Stumped on a modifer for 96372

sgormsen

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39
we are billing a 99335, 96372 and J342. Domicilliary visit with a B12 injection. I have put a modifier 25 on the E & M but it's failing stating that the 96372 has an unbundled relationship with the 99335. When I put those codes in coder light it directs me to use a modifier on the 96372. What modifier am I to use? :confused:
Thank you, Susan
 
If the injection was the reason for the visit you shouldn't bill the E&M. If its significant separately identifiable service you can add 59 to the injection code.
 
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