Recent content by claire@alohavein.com

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    Wiki Modifier 51

    Hi everyone, I have a question. We have a patient who underwent LEV (93970) and LEA (93925) procedures on the same day. In addition to the E/M codes with modifier 25, should I use modifier 51 to indicate that one of the procedures is secondary to the primary one? Also, is modifier 51 applicable...
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    Wiki HMSA QUEST denies all CCM Codes

    Claims under HMSA Quest with CPT codes 99490 and 99439 have been denied, despite these codes being listed in both the Medicaid Fee Schedule and the HMSA Quest Physician Fee Schedules. Other Medicaid contracted payers, such as Alohacare Quest, Ohana Quest, and UHC Quest, reimburse these codes...
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    Wiki 99490 Quest Denials

    Hello! Our clinic recently began offering Chronic Care Management (CCM) services starting in February this year. Overall, things are going well, but we're encountering a recurring issue with quest denials for code 99490. The reason provided is: "234: This procedure is not paid separately. At...
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