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Wiki what modifier??

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southbaymed

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Manhattan Beach, CA
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Please help me. :mad:
Provider billed: 99215-25 99396, 90658, 90471-59, 82274, 92551,93000,94010,36415
except 99215, 90568, 90471, 94010, all other Cpt were for V70.0-routine physical.
Blue Shield denied 99396 saying included with 94010.:confused:
maybe need to add modifier. what modifer to be added to 99396??
we have another patient w/identical isuue which were never any problem before Sep.2010
thank you
 
I agree with annielou. Anytime we bill a problem and preventive E/M service together, we append a modifier 25 to both, and they get paid.

*Helpful tip: I have also advised my physicians that when we report 2 E/M services that we are essentially reporting 2 office visits, and they must be separately documented.

Bill Hale, CPC
 
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