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NP billing

  1. #1
    Default NP billing
    Medical Coding Books
    I have recently been given the responsibility of billing for our new NP. She sees patients in a SNF. She wants me to bill for visits in following ex: pt seen on 7/2 for regular care bill 99308 then saw again on 7/4 for removal of impacted cerumen bill 69210 -50 for bilateral plus another 99308 with-25 mod, then saw again on 7/6 for follow-up care. I am aware that just she documents medical necessity she can see the patient for all three visits. My thoughts are bill first visit 99308, second visit 69210-50, and the third would be included as part of global period of the second visit? Would this be correct? Any advice appreciated.
    Sheri Meadows

  2. #2
    Jefferson City, MO

    According to what I've read about this, there is a -0- day global period for 69210 so your third date of service would be billable with medical necessity. I agree with your first date of service coding but if the NP returned two days later specifically to remove the impacted cerumen then the E/M service would not appropriate as there is no separate and significant E/M service (unless documented). I also read that that Medicare is not recognizing the -50 modifier. It's recommended you bill 69210 with only one unit. I found a great tutorial for this, you might find it helpful - de=webinar_cerumencodingchaos&Attributes=Yes&Quant ity=1

    Good luck!

    Linda Martien, COC, CPC, CPMA
    AAPCCA BOD - Region 8

  3. #3
    Thank you I will check that out. I have been reading conflicting information regarding the use of the modifier.
    Sheri Meadows

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