mod

  1. H

    Wiki Debridement with Wound Vac

    I have a PT that does outpatient wound care and I'm trying to figure out if they are allowed to charge 97597 (& 97598) with 97605 or 97606. Does anyone know what the current regulations on this are? I was thinking if I could use them with modifier 59, it might work.
  2. L

    Wiki ESSURE modifer - IN SC we have recently

    IN SC we have recently had our ESSURE claims being denied for lack of modifier on the A4264 portion. We have tried mod 50 but that did not work. Is 33 the appropriate modifier? Any thoughts would be appreciated!
    • lizelder
    • Thread
    • appreciated denied essure mod modifier
    • Replies: 0
    • Forum: Modifiers
  3. A

    Wiki Vaccine for children

    I live in NJ and I work for a pediatrician. We have a large number of patients with Horizon NJ Health. How do you bill the Vaccine from the state? I`ve been using the Mod SL attached to the vaccine and has been denied. Example: 90672,SL 90473 90707,SL 90472 I need help. Any suggestions?
  4. A

    Wiki Vaccine for Children Modifier

    I live in NJ and I work for a pediatrician. We have a large number of patients with Horizon NJ Health. How do you bill the Vaccine from the state. I`ve been using the Mod SL attached to the vaccine and has been denied...
  5. T

    Wiki Would you use mod 25 or 59

    When reporting codes 99204 and 96103, would you use modifier -25 or -59? for non-medicare and medicare cases...
    • tvaughn
    • Thread
    • medicare mod modifier non-medicare reporting
    • Replies: 3
    • Forum: Modifiers
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