Jun 30th, 2014 - cwaggoner
I work in a family practice and we billed out two procedures that were done on the same day, same physician. Insurance is denying due to procedure is considered incidental to or a part of the primary procedure. Which tells me we need a modifier, I send a corrected claim adding modifier 59 to the second code, however still denied.
Would I need a modifier 51 and 59 on the 11200? or would the modifier be on the first code?
Thank you for your advice in advance.