Wiki Help! Split bill question

[AmyLitterell]

Hey! I'm new to coding and here is my scenario:
The Dr. saw a new patient who requested a physical, scheduled the apt as a physical, signed the waiver, etc.
The Dr did the physical but the patient also had a medical issue reviewed/treated. Can I split bill this DOS into a 99203/99386?

Thank you!!
Amy

 

[cmcgarry]

Hey! I'm new to coding and here is my scenario:
The Dr. saw a new patient who requested a physical, scheduled the apt as a physical, signed the waiver, etc.
The Dr did the physical but the patient also had a medical issue reviewed/treated. Can I split bill this DOS into a 99203/99386?

Thank you!!
Amy

You can split bill, as long as it is well documented that there is a separately identifiable E/M service. Also, you wouldn't use 99203, as you can't have two "new" patient services on the same day. Normally, we would use the new code on the physical, and established on the E/M for the medical issue. You also need a 25 modifier.

Hope this helps!

 

[AmyLitterell]

Thank you very much Cindy! It helps tremendously!