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Wiki HElp need to bill claim... help please

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dirctn2pnt@outlook.com

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our doctor wants to bill a 99396 99213 and 17000

99396
99213, 25
17000, 51

Giving that I audit and find that the documentation supports the additional office visit, would this be the way to code this. I tell them all the time do not do this and they do not listen.

danielle
 
Ridergurl said:
our doctor wants to bill a 99396 99213 and 17000

99396
99213, 25
17000, 51

Giving that I audit and find that the documentation supports the additional office visit, would this be the way to code this. I tell them all the time do not do this and they do not listen.

danielle
Click to expand...

If supported by documentation...

99396
99213-25
17000
 
On claims with two E/M charges, such as this one, I always had trouble getting both paid on the first submission. I started appending modifier 25 to both E/M charges, now most get paid first time.

99396-25
99213-25
17000

Make certain that your preventive / problem diagnoses are linked correctly.


Bill Hale, CPC
 
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