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modifier and add-on codes

  1. #1
    Default modifier and add-on codes
    Medical Coding Books
    Hello All,

    I have a payer that keeps demanding for us to put a modifier on the add-on code of 96375. I know as a coder that add-on codes do not require modifiers.. Does anybody know where on Medicare's website says that add-on codes do not get modifiers?

    Thank you, Please send link if possible.
    Kristen Richard, CPC

  2. #2
    I believe add-on codes can have modifiers, but of course not -51. You mention Medicare, well, years ago, I used to bill Empire Medicare (NYS+) and they never mishandled modifiers and would even sometimes insert the appropriate modifier if we left it out!...

    Does the payor mention the modifier they are searching for?

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