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Is anyone else experiencing Blue Cross denying physicals that are billed with office visits? I'm using a mod 25 and a 59 if labs or immunizations are done, and I'm receiving denials all of the sudden for the PE.
Are you adding the modifier 25 to the PE code when immunization administration codes are billed? These are bundled by CCI edits so you will get denials of the PE and payment for the administration when modifier 25 is not appended.