Medical Billing Forum
General Category => General Questions => : suuzq June 26, 2011, 11:12:39 PM
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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!
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That would be a Medi-Cal specific coding issue. Sorry but I don't currently bill Medi-Cal (and I'm thankful for that!).
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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.