Wiki Bill 97162 and 97112 together

[ccrayden]

I have an insurance company who is denying claims that was billed with 97162 and 97112 together. The denial is for missing modifier. I'm trying to figure out what modifier needs added to these codes. Thanks.

 

[vanessamoldovan]

I have an insurance company who is denying claims that was billed with 97162 and 97112 together. The denial is for missing modifier. I'm trying to figure out what modifier needs added to these codes. Thanks.

Unless the payer has some specific requirement, these are therapy codes, so they will require GP or GO modifiers. see attached modifier info sheet.

 

[ccrayden]

Thank you very much for the modifier list.