Has anyone had trouble getting payment from the insurance when billing these two codes on the same claim?
Patient was a new patient and during the encounter had a skin lesion biopsied and a separate I&D of a cyst. CPTs billed were 99203 (25), 11100, 10060 – UMR paid 10060 and denied 11100 stating that it cannot be reported on the same day that a procedure was performed. Any ideas? To my knowledge it doesnt require modifier 59 but I could be wrong and overlooking something.