• 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 W/c + commercial

Create Wiki
N

nyyankees

True Blue
Messages
1,271
Location
Smithtown, NY
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:
 
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.
 
You must log in or register to reply here.
Top