Medical Billing Forum
Coding => Coding => : MFunk March 01, 2012, 02:34:12 PM
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I am getting denials when provider bills 99214 with code 90734 (ultrasound)
Provider is using modifier 25 on line 99214. Nothing on 90734. Does anyone know correct
modifier to bill and get paid for both procedures?
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What are the denials? If the E&M is separate and you are using the 25 modifier I'm not aware of any other modifier that would indicate that. Without knowing what the denial is though it's hard to say.
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check to make sure your diagnosis code is worthy of the ultrasound. example: if diagnosis code is say ear infection, you would not need ultrasound. just check this.