Wiki HElp need to bill claim... help please

[dirctn2pnt@outlook.com]

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

 

[RebeccaWoodward*]

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

If supported by documentation...

99396
99213-25
17000

 

[halebill]

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