97012

[shelbylmk]

I keep getting denial for the procedure code 97012 with a modifier 59. Do you use a modifier 52 instead? I have had several insurances deny claims for that same reason. Please and thank you.

[Michele]

 What is it being denied for?  Is it being denied by all insurances or just one?  Not enough info to help.   

[shelbylmk]

It keeps denying out as the modifier is invalid or incorrect with the procedure code. It is being denied out by multiple insurance co for that reason. I have submitted this code with a modifier 59. Also, submitted with both modifiers 52 and 59. I have also submitted without any modifiers on the claim for this code. What I am doing wrong? This is for chiropractic billing. Thank you for any help that you may have.

[Michele]

Are there other codes on the claim?

[HarlowMars]

I frequently bill this code with modifier -GP.