Inclusive

We billed the CPT® 99213 & 99212 with the primary surgery code 93971.. We have billed wth 25 modifier.

CPT® - 99213 with 25 modifier, denied as inclusive with 93971.

For another patient:

CPT® - 99212 with 24 modifier, denied as inclusive with 93971.

Please let me know how do i work on ths.

Thanks in advance!

re: Inclusive

Hi ~

Were the office visit charges necessary to perform the scan or were they unrelated?

Cathy

re: Inclusive

Yes they were absolutely necessary.

The performed DX's are - 459.81, 454.8 & 729.5

re: Inclusive

Is there any thing else we can do to get this claim paid or the denial is corret???

re: Inclusive

[Is there any thing else we can do to get this claim paid or the denial is corret???]