Brenda Posted Thu 07th of January, 2010 01:39:23 AM
I had a claim denied stating that the proc.
28116 was not sep. reimburable when billed with
28725. I have used this site and learned they are seperately payable but I need to append a modifer to
28116. I there a place on this site that helps me determin which mod. is correct?
Crisleyla Answered Thu 07th of January, 2010 01:44:45 AM
Per CCI Code 28116 is a component of Column 1 code 28725 but a modifier is allowed in order to differentiate between the services provided. So you would need to add -59 modifier with RT or LT