Wiki Can you bill a profee for an office visit and lumbar epidural charge?

Shawna Paul

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"Can we bill a professional fee for an office visit and the lumbar epidural charge? Our anesthetist provided a lumbar epidural (62311). He also wants to charge for an office visit, 99213. He took a history, did a physical exam, etc. Molina is denying the professional charge 99213? Any ideas? (we are a critical access hospital and not paid by PPS but we do follow the PPS rules)."

Thanks in advance for any comments or suggestions.

Shawna Paul
 
Unless you can prove that the OV is above and beyond what would be required for the ESI, then no, you can't bill for it separately.
 
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