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11042/11045

  1. N

    Wiki Bundled Office Visit w/ -25

    We have been getting denials recently from Humana when billing 99214-25 (I70.233, F17.218, I89.0) 11042 (L97.312, L97.212, T81.31XA) Dx are different for each code. Only thing I can think of is the i70.233 and L97 codes both address the 'right leg' .. BUT we have been getting paid before with...
    • nittamarable
    • Thread
    • 11042 11042/11045 99214 billing debridement e/m e/m with modifier 25 humana modifier 25 office visit
    • Replies: 2
    • Forum: Billing/Reimbursement
  2. T

    Wiki 97597 vs 11042/11045 codes

    Hello I just started coding wound care charts on the facility side and the APC coordinator keep asking me for missing procedures (debridements) that I think should be coded on the physician side. Should she know this? Those codes are usually already there sometimes. When to use 97597 vs...
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