Wiki What modifier should I use??

[asehr]

I have two claims being billed to the same ins company (different patients), CPT codes 59425 and 59426, but they are being denied because the patients received an injection on the same date (using 96372 for the injection). I've tried sending in corrected claims using modifier 25 but the insurance company doesn't like that. I know I need a modifier due to NCCI edits, would -59 be better in this case?
Any suggestions?? Thank you!

 

[SienTC1720]

Modifier 25 is only for the E&M visit on the same day as another procedure. When doing more than one procedure on the same day, 59 is what you want to use.

 

[asehr]

Thanks Cady4217!