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Wiki e/m code and xray denied

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ajf_92@icloud.com

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Snellville, GA
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Billing a 99213 with a 73560 and the insurance companies are denying the office visit and only paying for the x ray and saying it is a bundled service. is anyone else experiencing this? if so what insurance companies are you seeing this with.
in my practice I am seeing it with Humana and Medicare.
 
ajf_92@icloud.com said:
Billing a 99213 with a 73560 and the insurance companies are denying the office visit and only paying for the x ray and saying it is a bundled service. is anyone else experiencing this? if so what insurance companies are you seeing this with.
in my practice I am seeing it with Humana and Medicare.
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ajf
What is the dx code and did use modifier 25 on CPT 99213?
Lady T
 
 
I think you need to tell us a bit more. Maybe send the office note?
In general an E&M and radiology are separately reimbursable on the same day. This is done around the country in every orthopaedic surgery office dozens of times every day.
Something else is going on here..,
 
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