Wiki 99213 with 62252

[roussj19]

Anyone have experience billing these together and getting reimbursed for the EM?

 

[vanessamoldovan]

Anyone have experience billing these together and getting reimbursed for the EM?

Did you bill the office visit with a modifier 25 or 57 according to the documentation? Also, what was the denial and payer?

 

[trarut]

Was the patient seen for any other reason that day that would support a 25 modifier? If the decision was made to reprogram at that day's visit, I could see using the 25. If the patient came in solely for the reprogramming, all related activity should be covered by the 62252. I would not expect to be paid separately for the E/M service.