Wiki 2 ER E/M visits on same date of service

[bar2ty@yahoo.com]

Can 2 ER E/M visits for same DOS be processed on the same claim. They have 2 different rev codes-0450 and 0981 and modifier 25 added to one of the cpt code 99285-25? any feedback

 

[thomas7331]

Can 2 ER E/M visits for same DOS be processed on the same claim. They have 2 different rev codes-0450 and 0981 and modifier 25 added to one of the cpt code 99285-25? any feedback

What you are describing does not represent 2 visits on the same date. Revenue code 0450 is the facility fee for the use of the ER and revenue code 0981 is the charge for professional services of the physician or NPP. So these are two components of the same service. Many payers do not reimburse revenue code 0981 because most require that professional fees be billed on a 1500 form and not a UB form; however it can be billed this way.