A claim was sent into insurance 99202 and 94664. Claim was bundled and only the 94664 was paid. Above the section for the pulmonary treatment in the CPT it states that if an E&M is also performed it should be billed "in addition to" the 94664.
The explanation I received from the insurance company is that a modifier -25 is needed to bill according to global guidelines. I have not found any NCCI edits for this yet and I cannot determine why this would bundle. Could someone direct me to documentation so that I can provide it to my provider explaining clearly why these treatments are not separately billable?
Thanks
The explanation I received from the insurance company is that a modifier -25 is needed to bill according to global guidelines. I have not found any NCCI edits for this yet and I cannot determine why this would bundle. Could someone direct me to documentation so that I can provide it to my provider explaining clearly why these treatments are not separately billable?
Thanks