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Help with correct modifier

  1. #1
    Default Help with correct modifier
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    Medicare is denying a part of a claim that has a 99215-25, 17000-59, 17003, 11641.
    They are denying the 11641 for a M80 reason, not covered when performed during the same session as a previously processed service.
    Should I be using the 51 modifier for multiple procedures instead of the 59?

  2. Default
    Should the 59 modifier be on the 11641, as it is the second code to both 17000 & 17003 in the CCI Mutually Exclusive list?

  3. #3
    Columbia, MO
    a copy of the note would help

    Debra A. Mitchell, MSPH, CPC-H

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