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99214, 99406, 90472, 96372

Hi All

Can someone please explain to me how to bill for the following on the same day.

99214
99406
90472
96372

When I append the 25 modifier, I get the following:

The Diagnosis Code(s) submitted with the Procedure Code (99406) does not meet or may not fully support Medical Necessity.
Code 99406 is a component of code 90472 but a modifier is allowed on 99406.
The Procedure Code (90472) is defined as an add-on code.
The Procedure Code (90472) is invalid or requires a parent that is not on the claim.

The patient is in his 40s so I’m confused what the last line means.

Thank you again!

Medical Billing and Coding Forum

90471 and 90472 to code together or not to code together

When coding and billing for Dtap or Tdap without counseling for age 18 and under and for age 18 and above, what is the norm or the correct way to bill the insurance for this injection.

90471 + 90472 x2 or just bill for 90471 only?

What is the correct and the best practice in the industry?

Medical Billing and Coding Forum