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..