Question E/M codes with 99199

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1
Location
Woodside, New York
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Can 99199 - Unlisted special service, procedure or report be billed alone or it serves as an adjunct code to the basic services rendered such as an office visit 99213 ?
Also, is 99199 should be $0 charge ?
Thank you!
 

csperoni

True Blue
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1,092
Location
Selden
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Unlisted codes (whether 99199 or any other unlisted) are used when there is no existing CPT code to accurately describe the services provided. Whether or not it's appropriate to bill with 99213 and the fee depends on what you are using it for. When using unlisted codes, you should be prepared to appeal with medical records and provide an existing CPT code to benchmark it to. What special service, procedure or report is being provided that does not already have an existing CPT code?
 
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