Forum - Questions & Answers

May 1st, 2009 - greggsnet

CPT 97018 -- Paraffin bath

We are getting denials for this code when billed with 97140. Is there a modifier needed or is this not payable separately?

Thanks.

May 1st, 2009 - nmaguire   2,606 

97018

CPT code 97018 denied by the carrier as “charge included in another charge or service.” CPT 97018 code is considered by Medicare to be a component procedure of CPT code 97140 which was billed on same date of service. A modifier is allowed in order to differentiate between the services provided. Separate payment for the services billed may be considered justifiable if a modifier is used appropriately (59) on code 97018..



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