Billing > Billing

97012

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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.

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