medicare billing

I am trying to bill for a 11056 w a 99214 and 25 modifier. They are denying it stating we do not have the correct modifier listed. Would like to know which modifier would fit. I was thinking 57 but am not sure. ARe you able to help with this?

re: medicare billing

The following class finding modifiers should be used with G0127, 11055, 11056, 11057, 11719, 11720, 11721, when applicable:
1. A Class A finding (Modifier Q7)
2. Two of the Class B findings (Modifier Q8); or
3. One Class B and two Class C findings (Modifier Q9).
The patient's medical record must contain documentation that fully supports the medical necessity for services included within this LCD. (See "Indications and Limitations of Coverage.") This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures.

Documentation supporting the medical necessity, such as physical and/or clinical findings consistent with the diagnosis and indicative of severe peripheral involvement must be maintained in the patient record.

Physical findings and services must be precise and specific (e.g., left great toe, or right foot, 4 th digit.) Documentation of co-existing systemic illness should be maintained.