Medical Billing Forum

General Category => New! => : ddcool August 31, 2020, 01:08:30 PM

: pain managment billing
: ddcool August 31, 2020, 01:08:30 PM

HI,

I need help pleaseeeeeeeeeeeee on modifiers on the following:
99203 25
20553 59
J1030
76942
Does this look right?   I am not sure about modifier on the 76942. These procedures are all done in one visit.

Thanks!!!

: Re: pain managment billing
: Michele September 01, 2020, 12:28:30 PM

It would be impossible for anyone to tell you what modifiers are needed/warranted without having access to the patient chart.  However, I am not aware of a modifier being required for the 76942 so as long as the patient chart indicates what you have documented in your question, that should be accurate.

: Re: pain managment billing
: kristin September 01, 2020, 11:55:20 PM

I bill these same/similar codes a lot. Some insurances will want a 59 modifier on the 76942, it is payer specific.