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Therapeutic Sevice with Mod -59?

  1. #1
    Question Therapeutic Sevice with Mod -59?
    Medical Coding Books
    Please help! I am looking at a denied claim that was submitted with 97530-59 four times. The definition of 97530 is Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes. This means that the patient was seen for a total of 60 minutes.
    Does this claim need a modifier at all?

  2. #2
    Cape Girardeau
    If this was all that was done it should have been billed once with 4 units.

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