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Need Help with Billing 93923 - chelle

Posted: May 27th, 2017 - 12:04 pm

I'm needing help with this. We are getting a denial from Medicare. B15: This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

we are billing 93923 x2 on separate lines with 59 modifer.  To distinugish two different . I have read that a modifier indicator (1) is needed. Where would this go? I'm also showing the biller had a TC modifier to it as well. 

any help would be appericate.  We are only getting a denial from Medicare only. 



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