Forum - Questions & Answers

May 31st, 2016 - Ssurve

CPT® 99496

CPT® 99496 billed with CPT® 99490 on same date of service with 25 modifier each. Medicare denied the claim for CPT® 99496 as modifier combination is invalid. We also tried removing the modifier 25 from 99496 but it is still denied for same reason. Is it correct coding?

Jun 1st, 2016 - birdie625 1 

re: CPT® 99496

Per a CMS MLN article on CCM 99490 the two cant be billed together

Jun 2nd, 2016 - afgbilling 59 

re: CPT® 99496

Here is the answer from my coding software:
CCI edit: This procedure code can never be reported together with code 99490 due to CCI column 2 code edit



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