Author Topic: MODIFERS/MEDI-CAL  (Read 1823 times)

suuzq

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MODIFERS/MEDI-CAL
« on: June 26, 2011, 08:12:39 PM »
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!


Michele

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Re: MODIFERS/MEDI-CAL
« Reply #1 on: June 28, 2011, 10:27:00 AM »
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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Claudelia

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Re: MODIFERS/MEDI-CAL
« Reply #2 on: July 09, 2011, 05:59:17 PM »
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.