Medical Billing Forum

Billing => Billing => : bt_elite00 September 26, 2017, 06:48:55 PM

: CPT 99406 Medicare + Modifer
: bt_elite00 September 26, 2017, 06:48:55 PM
I would like to know what modifier is used when billing CPT 99406 (smoking cessation) to Medicare. I used 25 but the claim was denied with RA message "PROCEDURE CODE IS INCONSISTENT WITH MODIFIER USED OR A REQUIRED MODIFIER IS MISSING".

Also note that on the same day we bill 90837 modifier (59) and 90853. Please help!

Thanks
: Re: CPT 99406 Medicare + Modifer
: Adnare01 September 27, 2017, 09:50:10 AM
Modifier 25 cannot be appended with 99406 so remove the modifier and resubmit the claim.