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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.

Denial reason code CO 236

Denial reason code CO 236

Facebook Question About CO 236: "Hi All!Medicare denial received, paid all CPT except the Re-Eval We billed 97164, 97112, 97530, 97535 - they denied 97164 for CO 236 Any help on corrected billing to get this paid is appreciated!Thank you!" Medicare...

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