Debbie8437
Guest
- Messages
- 3
- Best answers
- 0
I'm new to chemotherapy coding/billing. Actually reviewing some old claims.
Appears there are times our MD's bill for an E&M (99212 & 99213), as well as the actual chemo codes.
Theses E&M codes are modified with -25, which then bypass cci edits.
Upon review of documentation, their E&M levels are accurate but I do find the E&M is related only to the assessment of the patient and plan, that relates to the chemotherapy.
I am under the impression that in order to bill an E&M along with chemo codes, the E&M must stand on its own, independent, separate and unrelated of any chemotherapy given that day.
I would greatly appreciate any clarification of this coding.
Deb P
Appears there are times our MD's bill for an E&M (99212 & 99213), as well as the actual chemo codes.
Theses E&M codes are modified with -25, which then bypass cci edits.
Upon review of documentation, their E&M levels are accurate but I do find the E&M is related only to the assessment of the patient and plan, that relates to the chemotherapy.
I am under the impression that in order to bill an E&M along with chemo codes, the E&M must stand on its own, independent, separate and unrelated of any chemotherapy given that day.
I would greatly appreciate any clarification of this coding.
Deb P