I got some good feedback that a physician can bill a preventative code with and E&M under certain circumstances. So if a new doctor is billing 50% of her new patients with a 99386, 99204-25 to Medicare I have a few questions:
-only the 99204-25 is getting paid -why?
-even though it may be legit and she has the documentation is she setting herself up for an audit?
-is there a way to code so that both charges get paid that I am missing?
I appreciate any feedback
-only the 99204-25 is getting paid -why?
-even though it may be legit and she has the documentation is she setting herself up for an audit?
-is there a way to code so that both charges get paid that I am missing?
I appreciate any feedback