• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Preventive visit, office visit, and a procedure on same DOS.

Create Wiki
P

pvang

Networker
Messages
91
Location
Appleton, WI
Best answers
0
Hi-

I need clarification and confirmation on this issue. We have a claim that was billed on the same DOS codes:

99396- Preventive visit
99213 with mod 25- E/M visit
11302- Shave skin lesion

We are getting a deny edit on the 99396 as being bundled in to 11302.

My rationale was that modifier 25 will need to also be appended on the 99396 also to make this a distinguish service from procedure 11302. Same concept applied to the 99213 that's why the provider billed it with modifier 25 to eliminate this coding issue.

Am I correct?

Thanks in advance for the help!

Pvang
 
You must log in or register to reply here.
Top