W/c + commercial

nyyankees

True Blue
Messages
1,272
Location
Long Island/New York
Best answers
0
One of my dr's did a 99213 for bilaterla hip pain. The Left hip was a W/C injury while the right hip was for the pt's commercial insurance. Is it ok to bill W/C and the commercial insurance for this visit or am I "doubling up". Does these need to be specific documentation on either side?

Thanks.:cool:
 

NFBarner

Guest
Messages
42
Best answers
0
You should have two separate notes - one for W/C and one for the commercial insurance. I assume he evaluated each hip separately.
Per CPT guidelines and from a CPT perspeective, all codes billed for must meet or exceed the key components to the E/M level selected.
 
Top