I have a claim question as it is being denied by HNE for an inappropriate modifier. The patient was seen for a complete PE, during the course of the visit the patient brought up new problems so we billed for an office visit as well. She also received an immunization and smoking cessation counseling The original billing was as follows:

99395 denied
99215-25 paid
90715 paid
90471-59 paid
99406-59 denied
2 lines denied so I rebilled as:

99395 -59 denied
99215-25 paid
90715 paid
90471-59 paid
999406 paid

PE is still denying for an inappropriate modifier . I have also tried using modifier 51 on 99395 to no avail. HNE provider services states their coder has said there is a more appropriate modifier but I can’t think of what could be possibly used to get the PE paid … can anyone help solve this problem