|
- Denial for 81000 from Medicare - medicalbillinglive. com
We use 81000 very frequent you do not need modifier for 81000 but your physician should have CLIA number You can contact your state agency for information on how to get CLIA
- -59 Modifier Usage
I just recently started billing for a family practice and am trying to learn when the -59 modifier is necessary My understanding is that the -59 modifier is used when there is an office visit with at least 2 other procedures, assuming that the procedure was not in a CCI Pair For example, 99214 - 25 82962 81000 - 59 93000 - 59 Is that correct? And is this modifier required for commercial
- Billing Medi-Cal
When I bill an office visit 99213 and a lab 81000 Medi-Cal will only pay the office visit and deny the lab as only one exam covered on the same day If I bill an EKG 93000 they will pay the EKG and not the office visit with the same denial reason
|
|
|