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Wiki Bronchitis Treatment

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sstone

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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
 
I believe your looking for mod 25.

Roxanne Thames, CPC


sstone said:
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
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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
 
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