Hello we are billing Tricare South for 96127 with modifier 59 and 2 units. These are being denied stating: Billed Procedure Code(S) Pairs Found To Be Unbundled Per Cms Ncc
I can’t find any information on this. Triwest/Vets choice paid with no issues.
I did read that some payers will only pay 1 unit. Also that a 59 modifier is needed.
Anyone have any experience on this with Tricare?