If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Can I use a modifier to unbundle a vision screening when done w/ a preventative O/V, and a sick visit on the same day, because Medicaid is denying for 99173 being bundled with 99385?????
As long as you are tying the correct preventive visit ICD-9 code to the vision screening CPT, I would think no modifier should be necessary.
You might want to tell your Medicaid carrier that per CPT 2011, pg. 33, "Vaccine/toxoid products, immunization administrations, ancillary studies involving laboratory, radiology, other procedures, or screenings tests (eg, vision, hearing, developmental) identified with a specific CPT code are reported separately."