Medical Billing Forum

Billing => Billing => Topic started by: bt_elite00 on September 26, 2017, 03:48:55 PM

Title: CPT 99406 Medicare + Modifer
Post by: bt_elite00 on September 26, 2017, 03:48:55 PM
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
Title: Re: CPT 99406 Medicare + Modifer
Post by: Adnare01 on September 27, 2017, 06:50:10 AM
Modifier 25 cannot be appended with 99406 so remove the modifier and resubmit the claim.