Medical Billing Forum

Billing => Billing => Topic started by: PMBS on December 28, 2017, 12:50:55 PM

Title: preventative
Post by: PMBS on December 28, 2017, 12:50:55 PM
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.
Title: Re: preventative
Post by: kristin on December 28, 2017, 01:46:37 PM
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.