• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki billing multiple visits

Create Wiki
P

PattyGreen

Contributor
Messages
23
Location
Siler City, NC
Best answers
0
If 2 different physicians from 2 different sub-specialties of Ophthalmology see the same patient on the same day with 2 different diagnosis codes can both visits be billed to insurance? For example, a Retina dr. sees pt. for diabetic retinopathy/AMD and also sees a Cornea dr. for cataract eval. to discuss extraction can both bill a visit? Does one need to bill an E/M and one bill an eye code? Thanks for any info!!!
 
PattyGreen said:
If 2 different physicians from 2 different sub-specialties of Ophthalmology see the same patient on the same day with 2 different diagnosis codes can both visits be billed to insurance? For example, a Retina dr. sees pt. for diabetic retinopathy/AMD and also sees a Cornea dr. for cataract eval. to discuss extraction can both bill a visit? Does one need to bill an E/M and one bill an eye code? Thanks for any info!!!
Click to expand...

They should both bill for what they did. As long as their work and the medical necessity are documented, there's no reason both of them can't get paid. You may have to submit an appeal with records if one gets a denial, though. Hope that helps!;)
 
i agree with Brandi. Even if within global for one sub-specialty surgery, you can bill E/M's for another sub-specialty with -24 modifier if the reason for the visit and the service performed warrants it.
 
You must log in or register to reply here.
Top