Modifier question...

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pastafan

Interventional Pain Physician
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I have a new billing company and recently I noticed 77003 denied by Medicare. Must a -59 modifier be added to bill with ILESI or is another modifier appropriate?

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I never use 59 modifier with ILESI and I think we get paid. I can't think of any other appropriate modifier. Tell CMS to go **** themselves... sorry just got done meeting with my accountant. Seems I get the highest AMT, new medicare tax, added capital gains taxes and on and on. Most taxes I've paid yet and made less last year. Love our administration...
 
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Does anyone bill 77003-59 with all procedures, regardless of bundling? Se of our carriers want it shown that fluoro was used even if they are going to deny it.
 
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