I have been having problems getting my re-evalutions paid. The last re-evalution I billed was the code 99211 with the modifier-25 to show it was a distinct procedure separate from my adjustment code. According to my payer, one initial exam is covered and one re-exam per episode is covered. They have informed me the 99211 code is not a valid code and can only be used one time in a 60 day period. The patient is an established patient. Any suggestions?
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