need some help with ER case

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I got feed back from billing saying the doppler (highlighted below) can not be entered because the date of servc is not during the er visit....
please tell me what else is wrong with this?
ER VISIT 05/10/07-05/11/07
99284-25
90772
J1650-JB X 8
93965-TC
93965-26 05/16/2007
85379
84450
84460
82947
82565
84520
80051
85025

THANX IN ADVANCE!!!!!
 
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lisammy

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Why Are You Billing The -26 On A Seperate Dos. Are You Billing For The Radiologist Also? Wouldn't That Be Considered A Seperate Encounter With A Different Provider.:)
 

eRicK@

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Er/radiology?

Are you coding for the professional services (provider)or Hospital services? Are you coding for Emergency or Radiology?

93965-26 is for professional services meaning, the provider is just reading the report. Therefore, the provider bills for his/her services.

93965-TC is for hospital services meaning, the use of the equipment at the hospital. Therefore, the hospital bills for the use of the equipment.

If you are coding for the professional services just code one time 93965 with a modifier -26.

If coding for Hospital services then code one time 93965 with a modifier -TC.

Yes, is the same date of service. I hope this helps.
 
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I'm recording on an encounter form all of the services for the visit....
althoughtI -26 was performed on a separate date I recorded it....that's the way my employer wants it done...the EMR has it set up so that the biller will data entry my codes and the separation happens within the EMR...so of course the referring provider won't get credit for the consulting provider and so forth

Why Are You Billing The -26 On A Seperate Dos. Are You Billing For The Radiologist Also? Wouldn't That Be Considered A Seperate Encounter With A Different Provider.:)
 
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I'm a professional services coder
my employer wants us to capture everything for that visit....we code -tc as well as -26 like my example

Are you coding for the professional services (provider)or Hospital services? Are you coding for Emergency or Radiology?

93965-26 is for professional services meaning, the provider is just reading the report. Therefore, the provider bills for his/her services.

93965-TC is for hospital services meaning, the use of the equipment at the hospital. Therefore, the hospital bills for the use of the equipment.

If you are coding for the professional services just code one time 93965 with a modifier -26.

If coding for Hospital services then code one time 93965 with a modifier -TC.

Yes, is the same date of service. I hope this helps.
 
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