Advanced Search

Radiology Coding Alert

Reader Questions:

93970 With E/M Is OK

Published on Mon Apr 04, 2011

Question: Can you bill a bilateral scan (93970) along with an office visit and get paid for both? Would you need to use modifier 25 on the office visit?Codify MemberAnswer: You may report an E/M service and 93970 (Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study) on the same claim. Whether you need to append modifier 25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) may depend on your payer.Explanation: The global period for 93970 is XXX, according to the Medicare physician fee schedule. Medicare's Correct Coding Initiative (CCI) manual, chapter 1, section D, states that if you have a truly separate E/M, you may report it on the same day as a XXX procedure. The manual goes on to say that you should append modifier 25 to the E/M code. (As [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Radiology Coding Alert

View All