Office visit w/cerumen removal & Allergy shot...

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We had a pt. come in the office that we billed ins. for cerumen removal (69210), allergy shot (95115) & an office visit (99213). I was wondering if anyone knew the best way to get paid & if I had to use anything other than a modifier 25?
 

HBULLOCK

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It depends on the insurance since mh/ntwk/nhp wont pay for both 99213 and 69210..you should only need mod 25 on 99213 line for other carriers to pay for this..hope this helps!!:)
 
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Thanks for the help...I'm going to try it w/the mod/25 and see where we get w/that. I'm sure only one is going to pay but worth a try. :rolleyes:
Thanks again!
 

efuhrmann

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please be certain the doc is removing the earwax, using the appropriate tools as defined in the CPT book.
 
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