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Do I need a 59 modifier for a H2014 and a H0031 the same day
Good Morning
Do I need to use a 59 modifier when billing an H2014 and an H0031 on the same day? It is also the same therapist.
Thank you,
Laura
Servicio de atención al cliente por UserEcho
You shouldn't, since they are different services - but some payers will deny just because there are two submissions. If they deny, you can always resubmit with the modifier.
I agree with Sarah, you shouldn't need the -59 modifier since they are not the same code.
If you submitted on separate invoices some will deny (like BCBS and B+) for same service, same day. But I've found that if I call them and detail the difference of code and/or modifiers they will send back for reprocessing and you won't have to resubmit. Good luck!