Wiki Risky Mod 59

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cmiller3418

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We have received a denial for 92250 combined w/ 92014 and 92133, glaucoma patient. The Premera "what if" tool accepts the 99250 if I add a Modifier 59. I don't want to set up problems, any ideas? The "what if" tool also accepts 65222 and 92012 if I add a modifier 25, but again, not sure if it is quite appropriate. I would appreciate feedback!
 
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