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preventative

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PMBS:
What modifier would you use on the 99396?

99396
90471
90674

I used a modifier 59 and insurance denied the claim.

Any help will be appreciated.

kristin:
59 modifiers are never to be used on E/M codes such as 99396. They are for procedures. You need a 25 modifier on the 99396, to show that the preventative service was separate from the vaccine at the same visit.

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