Medical Billing Forum
Coding => Coding => : cturner January 29, 2009, 12:42:19 PM
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I was wondering if anyone else was having a problem with Medicare denying CPT 96372 (the new CPT that replaced 90772)? Every time we bill an Injection Fee (96372) with an Office Level (99212-99215), it is being denied as Global. The new CCI edits state that 96372 it is bundled with Office Visit Levels, but it states that a modifier is allowed to differentiate between the CPTs. We used modifier -59, but when we called Medicare they told us that Modifier -59 was not appropriate & that we could rebill with an appropriate modifier. We are not aware of any other Modifiers that would be appropriate to use. Any suggestions?
Thanks!
CTurner
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You could try the 25 modifier on the E&M code. I'm not sure what else.
Michele