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Category Archives: Medical Coding Exam Prep

PROFESSIONAL COMPONENT

Hi all,

I am billing the professional component- One encounter 75574.26 was billed to Anthem Healthkeepers & another encounter for same DOS we billed 99284.25. The 99284.25 was paid but 75574.26 was not paid- according to Anthem procedure 75574 with modifier 26 is bundled to procedure code 99284 with modifier 25.

Can anyone advise- Did I bill these services with correct modifier? Thank you!