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by | Sep 11, 2022 | Medicare

United Healthcare Requires 59 Modifier for CPT Code 97530 and CPT Code 97140 Combo

by | Sep 11, 2022 | Medicare

Unitedhealthcare 59 modifier

News 2022: Unitedhealthcare Requires 59 Modifier for Therapy Services

Despite the recent changes to the NCCI edits no longer requiring CPT Code 97530 to require a 59 modifier when billed on the same date of service and by the same therapist as CPT Code 97140 some therapists recently have reported non-payments when these two CPT Codes are billed on the same date of service to Unitedhealthcare without the 59 modifer.

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CPT Code 95992

CPT Code 95992

CPT Code 95992 CPT 95992 – Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day* Source: NGS A56566 Appropriate Diagnosis to Charge CPT Code 95992 H81.11 - Benign paroxysmal vertigo, right ear H81.12 - Benign...

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