Wiki Bronchitis Treatment

[sstone]

We had a patient come in with bronchitis. The provider charged 99214, 94640 and 94060. According to cci edits, the 94640 is included in the 94060, but can be billed with a modifier. Can anyone suggest which modifier to use and does the e/m need a modifier? Insurance is Harvard Pilgrim. Thanks for your help.

Sharon

 

[rthames052006]

I believe your looking for mod 25.

Roxanne Thames, CPC

We had a patient come in with bronchitis. The provider charged 99214, 94640 and 94060. According to cci edits, the 94640 is included in the 94060, but can be billed with a modifier. Can anyone suggest which modifier to use and does the e/m need a modifier? Insurance is Harvard Pilgrim. Thanks for your help.

Sharon

 

[LOVE2CODE]

MODIFIER 25 is what you are looking for....

 

[AZ_coder22]

I think you are looking for a 25 on the e/m if a seperate evaluation and management was done, and a 59 on the 94640