Forum - Questions & Answers

Nov 10th, 2011 - sdalsbury

Wellness exam and I&D, what modifier to use?

A patient came in for her yearly physical and also had a sebaceous cyst removed. I orginally billed the claim as a 99396 using icd-9 code V72.31 and a 10060 with modifier 59 using icd-9 code 706.2. The I&D was paid but the physical was denied. Do I need to add modifer 59 to the physical or use a different modifier?

Nov 10th, 2011 - rphelps 615  1 

re: Wellness exam and I&D, what modifier to use?

Modifier 25 to 99396.



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