I billed an E&M and an injection. Pt also receive a vaccine. It went like this: 99214 w/25 Mod, J1885, 96372, 90715, 90460 w/59 mod. Ins denied 96372 saying it was incidental to 90460 though it had a 59 modifier. Ins says the denial is based on Mckesson Clear Claim guidelines. What the heck is that?! Can anyone tell me where I went wrong?
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