Author Topic: CPT 99406 Medicare + Modifer  (Read 145 times)

bt_elite00

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CPT 99406 Medicare + Modifer
« 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

Adnare01

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Re: CPT 99406 Medicare + Modifer
« Reply #1 on: September 27, 2017, 06:50:10 AM »
Modifier 25 cannot be appended with 99406 so remove the modifier and resubmit the claim.