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Amerigroup denied 69210

obinna Posted Wed 10th of June, 2015 16:11:33 PM

This was what I coded:

99213 (w/modifier 25) for developmental speech disorder
92567 for Otitis media
69210 for cerumen impaction

Amerigroup paid for 99213 and 92567 but denied 69210 stating that the procedure is considered CCI incidental to or part of the primary procedure

How do I resolve this please? Can I append a modifier to 69210? If so, what modifier can I append to 69210?

SuperCoder Answered Thu 11th of June, 2015 03:09:55 AM

As per CCI edits, Code 69210 is bundled into code 92567. Code 69210 is a column 2 code for 92567, These codes cannot be billed together in any circumstances.

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