Medical Billing Forum

General Category => General Questions => : suuzq June 26, 2011, 11:12:39 PM

: MODIFERS/MEDI-CAL
: suuzq June 26, 2011, 11:12:39 PM

What is the appropriate modifer to attach to code 69210 when billing Medi-cal (California)?  My claim was denied by Medi-cal stating procedure requires modifer.  Both 99214 and 69210 were billed on same day.

Thanks!

: Re: MODIFERS/MEDI-CAL
: Michele June 28, 2011, 01:27:00 PM

That would be a Medi-Cal specific coding issue.  Sorry but I don't currently bill Medi-Cal (and I'm thankful for that!).

: Re: MODIFERS/MEDI-CAL
: Claudelia July 09, 2011, 08:59:17 PM

Since it's technically a 'surgery' code, you might try the AG modifier.  I would also use the 25 modifier on the 99214 if it's warranted.