Wiki 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?
 
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.
 
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.
 
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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