lenaraamackerjackson@yahoo.com
Contributor
Good Morning,
A patient was seen for a wellness visit with an immunization but also had a sick visit all on the same day. I understand that a modifier 25 should be added to the sick visit but I am getting this error in claims management.
901 NCCI: HCPCS 99396 is a Column 2 code and may not be billed with Column 1 HCPCS 90471 on the same date of service. A valid NCCI modifier should be appended to the Column 2 HCPCS if documentation supports medical necessity to separately bill the services.
What modifier should be used for the Wellness visit? Please advise.
Thanks,
Confused Coder
A patient was seen for a wellness visit with an immunization but also had a sick visit all on the same day. I understand that a modifier 25 should be added to the sick visit but I am getting this error in claims management.
901 NCCI: HCPCS 99396 is a Column 2 code and may not be billed with Column 1 HCPCS 90471 on the same date of service. A valid NCCI modifier should be appended to the Column 2 HCPCS if documentation supports medical necessity to separately bill the services.
What modifier should be used for the Wellness visit? Please advise.
Thanks,
Confused Coder