Medical Billing Forum
Billing => Billing => : PMBS December 28, 2017, 03:50:55 PM
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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.
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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.