Author Topic: preventative  (Read 133 times)

PMBS

  • Newbie
  • *
  • Posts: 47
  • "OUR FRIENDSHIPS MIRROR OURSELVES"
preventative
« 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.
MR

kristin

  • Hero Member
  • *****
  • Posts: 502
Re: preventative
« Reply #1 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.