Author Topic: 97012  (Read 413 times)

shelbylmk

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97012
« on: January 31, 2022, 07:01:23 PM »
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

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Re: 97012
« Reply #1 on: February 04, 2022, 11:17:47 AM »
 What is it being denied for?  Is it being denied by all insurances or just one?  Not enough info to help.   :(
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shelbylmk

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Re: 97012
« Reply #2 on: February 08, 2022, 04:21:15 PM »
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.
« Last Edit: February 08, 2022, 06:22:34 PM by shelbylmk »

Michele

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Re: 97012
« Reply #3 on: February 10, 2022, 05:01:42 PM »
Are there other codes on the claim?
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HarlowMars

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Re: 97012
« Reply #4 on: February 22, 2022, 05:19:27 PM »
I frequently bill this code with modifier -GP.

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Re: 97012
« Reply #4 on: February 22, 2022, 05:19:27 PM »