Wiki Modifier Guidance for Claim Processing

[aqibbashir@carecloud.com]

I am currently managing billing for a facility and have encountered an issue with claims processing for a patient service date. On the same date of service, we billed three procedure codes under two different providers, both of whom specialize in mental health.

BCBS of South Carolina processed and paid one claim for CPT 99214, but the other claim was partially paid and denied as follows:

• CPT 90837: Paid $3, with the remainder denied due to inclusive.
• CPT 96127: The entire amount was denied due to inclusive.

Could anyone kindly advise if any specific modifiers should be applied to these codes to ensure proper reimbursement and processing?