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CPT 99406 Medicare + Modifer
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bt_elite00:
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
Adnare01:
Modifier 25 cannot be appended with 99406 so remove the modifier and resubmit the claim.
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