mmclawhorn
New
Our office billed 20610 for an arthrocentesis and 99239 for discharge services. Medicare only paid for the arthrocentesis. Can anyone tell me why?
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Wiki 20610 & 99239
- Thread starter mmclawhorn
- Start date
cmcgarry
Guest
An E/M on the same day as a minor procedure will be denied unless it was a distinct, separately identifiable E/M service. If it is separate, you need to append modifier 25 to the E/M service.
mmclawhorn
New
I forgot to mention in my first post that we did attach modifier 25 to the 99239 code.
cmcgarry
Guest
What denial reason was given? Since 20610 is normally an office procedure, that may have something to do with it - but the actual denial reason/code would help in determining why the d/c was denied. Thanks,