Help!!

wnarvaez72

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We used to get reimbursed for example: E/M 99213 with modifier 25 , J1100 and 96372. Now we only get reimbursed for the J1100 with 96372 minus the E/M code.
Do we not need a modifier 25 for injections?
 

kmgauthier

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There is now a CCI edit for 99213 and 96372. If the services are in fact separately identifiable, I append a 59 modifier to the injection in addition to the 25 on the visit.
 
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Durham, North Carolina
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E/m codes

I Would like to know....... What E/M Codes should be used when a family practitioner goes to a inpatient psych residential eating disorder facility to provide Medical Care initial and subsequent visits.
 

boogie9483

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The person who said to use mod 59 is incorrect.

99213.96372.J1100.jpg

You should call the payors and ask them why they are denying. Possibly appeal with medical documentation.
 
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