99242

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    Wiki E/M Consultation - CPC exam prep question - help

    I am sitting for my CPC exam on Saturday. There is a question in the Study Guide that has me stumped (and my two CPC colleagues too). A 55-year-old patient is seen in an office visit by an otolaryngologist. Dr. Nettles, at the request of her primary care provider for sudden hearing loss. The...
  2. T

    Wiki Medicaid-Patient's primary

    Patient's primary insurance paid for 99242 consultation except $25 copay. Patient's secondary ins Medicaid denied cpt 99242 as non covered by plan. Can we bill the patient for the $25 or do we have to adjust it off?
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