Orthotics Fitting during E/M

zaida120

Networker
Messages
40
Best answers
0
When billing for fitting of orthotics, is it still appropriate to bill for the E/M visit or would this be included in the fitting?
Ex: 99213, 25
97760
Should I append a modifier to the 97760?

Thanks for your help!
 

aclements

Networker
Messages
89
Location
Covington, LA
Best answers
0
Documentation tells the tale

It depends on the physicians documentation. If the patient is only coming in for orthotics fitting then you cannot bill for the E&M. If the patient comes in for a visit and during the visit your physician decides the patient needs an orthotic and does the training for it lasting at least 15 minutes then you would bill the E&M with a 25 modifier.

Hope this helps,
Angie :)
 
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