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#1
08-05-2008, 07:51 AM
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Orthotics Fitting during E/M
When billing for fitting of orthotics, is it still appropriate to bill for the E/M visit or would this be included in the fitting?
Ex: 99213, 25 97760 Should I append a modifier to the 97760? Thanks for your help!
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Be Blessed! Zaida D. McGarry, CPC 
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#2
08-12-2008, 06:30 AM
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Documentation tells the tale
It depends on the physicians documentation. If the patient is only coming in for orthotics fitting then you cannot bill for the E&M. If the patient comes in for a visit and during the visit your physician decides the patient needs an orthotic and does the training for it lasting at least 15 minutes then you would bill the E&M with a 25 modifier.
Hope this helps, Angie 
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