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Thread: 99465 and 99468....modifier?

  1. #1

    Default 99465 and 99468....modifier?

    AAPC: Back to School
    When billing these 2 codes together is a modifier needed?

    Same for 99465 and 99460?


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Modifier

    Since CPT specifically tells us we can use these codes in combination, you should not need a modifier. However, some payers may still require a -25 modifier on 99460 or 99468.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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