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modifier

Hi Sharon & Karen:Here is the claim detail - we billed99213  401.1, 31193000  401.169210 380.481002 401.1Medicare - Internal medicine. We got paid for 69210, 81002 - denied 99213 & 93000 with...

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Re: modifier

Assuming NCCI edits allow it, you need a 59 on the 93000. I would think the edits would allow it, because the EKG is clearly not the same thing as the cerumen removal, or the UA billed on the same...

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Re: modifier

Thanks so much 'TampaBayLady' - I will reopen with the correct modifier and see if it gets paid.appreciate your help.

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Re: modifier

You are most welcome, and I hope it solves the problem!

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Re: modifier

Medicare will deny the 93000 when billed in conjunction with the Medicare Wellness Visits and screening dx, Here is a reference as well, hope this helps...

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