E/R Visits

sandyy2510

Networker
Messages
39
Location
Jamaica/ Manhattan
Best answers
0
HI,

We have two different denials on the same CPT codes:
E/R visits bundled with 90765-90768,
90765-90768 bundled with the E/R visit

Which one is correct? and where can I get this info in writing.


Sandra Monsalve, CPC
Senior Coding Analyst
T: (646) 447-7507
F: (866) 425-0415
 
Messages
170
Location
Fontana
Best answers
0
these codes are not allowed with Medicare....just the drugs in this instance.

HI,

We have two different denials on the same CPT codes:
E/R visits bundled with 90765-90768,
90765-90768 bundled with the E/R visit

Which one is correct? and where can I get this info in writing.


Sandra Monsalve, CPC
Senior Coding Analyst
T: (646) 447-7507
F: (866) 425-0415
 

tammyboyer

Networker
Messages
35
Best answers
0
would a 25 modifier placed on ER E&M be justified. I code the infusions codes in an urgent care center, i place a 25 modifier on the E&M and Medicare and all carriers pay all codes........I do not know if the rules are different for emergency room......
 
Messages
170
Location
Fontana
Best answers
0
after reading the NCCI in the CMS website I found that the infusion-hydration-push codes are not reimbursed by Medicare....if you have documentation to prove I am wrong pls let me know....I'm still learning and any opportunity to enhance my coding knowledge is surely welcomed....have a gr8 day

would a 25 modifier placed on ER E&M be justified. I code the infusions codes in an urgent care center, i place a 25 modifier on the E&M and Medicare and all carriers pay all codes........I do not know if the rules are different for emergency room......
 
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