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Coding 90833 and 99212 or 99213

  1. #1
    Question Coding 90833 and 99212 or 99213
    Medical Coding Books
    Hello

    I have a question I just started coding psych claims some of my claim are getting denied when I submit a 90833 with a 99212 or 99213 with a 25 modifier and getting denials for being included with the 90833 it this true or I'm I doing something wrong.
    Quintina Lee CPC
    OUTPATIENT CODER
    DEPT OF FAMILY MEDICINE AND COMPREHENSIVE CARE
    E-mail : qlee@lsuhsc.edu

  2. Default
    I believe 90833 is an add on code, therefore your primary code should not require the 25 modifier.

  3. #3
    Default
    The 90833 is not included with an E/M service, therefore, the modifier 25 would not apply.
    Make sure you have the correct diagnosis to the related CPT code and the claims should be paid just fine.
    Missy Davis CMC,CPMA

    Choose a job you love, and you'll never work a day in your life. ~ Confucious

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