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Medicare disallowed amt

  1. #1
    Question Medicare disallowed amt
    Medical Coding Books
    My office billed medicare for office level 99213 as well as 10060 for an I&D. We used modifier 25 with the 99213. We billed $275.00 for the 10060. Medicare disallowed $254.89. Does anyone know why, did we do something wrong??
    Should it have been modifier 59??

  2. #2
    Default
    Quote Originally Posted by ladiesnoopy View Post
    My office billed medicare for office level 99213 as well as 10060 for an I&D. We used modifier 25 with the 99213. We billed $275.00 for the 10060. Medicare disallowed $254.89. Does anyone know why, did we do something wrong??
    Should it have been modifier 59??
    if it would be issue with -59 they would not pay at all, they would say that it is included in the allowance of other procedure.

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