Wiki Denial 99233

[gemini jordan]

I'm working a denial, claim was billed with 99233, 00300 its denying CPT code 99233 because its hitting up against the Anesthesia charge. Could someone please advise
Thanks

 

[kikindink]

Hi,

Usually the E/M visit with the patient the same day as anesthesia services performed, are included with the Pre-Eval & Post-Eval for Anesthesia. Did your doctor see the patient for another reason on the same day?

-- Valerie Cicchetti, M.A., CPC, SCP-PM

 

[NiteshlalKoyalkar]

Hi,
if cpt 99233 and cpt 00300 both done by one provider then you need to have seperate evaluation and management. even if you have a seperate condition addressed cpt 99233 & 00300 cannot be billed together even by adding any modifier , this means only one cpt will get pay.
if both done by different providers from different specialty then go head and do an appeal to the insurance.
hope this helps.