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correct modifier

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

:)

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