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Thread Topic: modifier 59
Topic Originator: Josie
Post Date June 5, 2018 @ 11:19 AM
modifier 59


Josie
June 5, 2018 @ 11:19 AM Reply  |  Email Friend   |  |Print  |  Top

I have a question can modifier 59 be used on code 90471 when billing an OV 99213 w mod 25? but also a wellness was done and modifier 33 was used for code 99397, now code 90471 was submitted without modifier but an immunization was also given so in that case the claim was submitted without mod 59. The claim denied payment for the wellness code 99397 so I appeal it but this time that's when I used mod 59 to code 90471 but the insurance still denied code 99397. and the insurance had already paid for code 90471 and with the appeal just by adding mod 59 to 9047 the insurance paid .71 cents more. I don't know if 59 should go w/99397?



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