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Wiki Modifier 26 with an xray cpt

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lmcreynolds@aoamail.net

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Is anyone having an issue with billing an X-ray with the modifier 26 with certain insurance companies? For example, 73030 with a 26. We have an satellite office that one of our providers go to and sees patients at. At that office, our practice doesn't own the X-ray equipment, another company does, but our provider interrupts the X-ray. So, when we bill any X-rays for that provider at the satellite office, we append a modifier 26 to the X-ray CPT codes. Now we are getting denials from BCBS Anthem VA and Humana Medicare Replacement. The denials states that the payment of the X-ray with modifier 26 is included in the payment of the Evaluation and Management services. Is anyone else having this problem? Thanks.
 
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