I have a question, the cpt code 99222 got denied as a non covered charge. the doctor was a consult doctor. the referring doctor billed 99223 for the same dos and got paid. what do I need to do to get this paid, do I need a modifier.
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Wiki Non Cover Charges
- Thread starter lindafay1123
- Start date
mitchellde
True Blue
The referring doctor must use the AI modifier or your code will not be reimbursed.
I check the referring doctor did use AI.
mitchellde
True Blue
If your providers are in the same specialty would be another reason. So if they used the AI and you are in a different specialty then you will need to appeal.