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Wiki 2nd OV charge appropriate?

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karlam

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Highland Springs, VA
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Would it be appropriate to charge for a 2nd OV with a .25 modifier if a patient who was treated earlier in the day returns with a reaction to the medication they were given. We are using the 995.2X dx on the return visit. I hate to write off visits if they are billed appropriately.

Thanks for any help I can get!:confused:
 
One OV

Roll ALL the documented services into one CPT code - likely a higher level office visit than you had before. If you were already at a level 5 on the first visit, then use the additional TIME (assuming it is at least 30 minutes) for prolonged service.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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