I had a pt present in the office for a preventative visit, with complaints of pelvic pain. I billed 99386 (dx V72.31), 99212-25 (dx 627.2). At the end of her exam, she decided to remove her IUD, and the doctor did it on the same DOS. Therefore, I also billed 58301 (dx V25.42). The original claim got paid, but 58301 was denied.
I sent an appeal, with modifier 25 attached to the 58301 code, but that is now being denied stating "modifier being inappropriate for the procedure code."
Can anyone please let me know what modifier to use? I'm leaning towards 51, but am not sure.
Thanks!
I sent an appeal, with modifier 25 attached to the 58301 code, but that is now being denied stating "modifier being inappropriate for the procedure code."
Can anyone please let me know what modifier to use? I'm leaning towards 51, but am not sure.
Thanks!