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Wiki Billing 99401 along with an E/M Code

Biller2023

Networker
Messages
75
Location
Trenton, NJ
Best answers
0
Everytime we bill 99401 with an E/M Code like 99213, 99214 etc, 99401 gets denied stating mutually exclusive procedure cannot be done on the same setting. We are billing E/M with a 25 modifier when we add 99401 but still the claims get denied. How should we bill 99401 along with an E/M Code? Quick response will be appreciated. Thanks.
 
I've billed 99401 with 25 modifier but still insurance pays for the E/M and denies 99401 stating CO231 (mutually exclusive procedure). Let me know how to fix this please.
 
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