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Thread: can obgyn bill for infertility male visit

  1. #1
    Join Date
    Apr 2007
    San Antonio

    Default can obgyn bill for infertility male visit

    AAPC: Back to School
    When our ObGyn provider provides a fertility visit, the male and female are present. If our provider performs testing on the male, can he bill and E/M visit and/or any tests performed? He is already billing for the female's E/M visit. I think that it will get denied based on specialty and perhaps licensing. Any thoughts?

  2. #2

    Default re: can obgyn provider bill for infertility male visit?

    I agree, the claim will probably be denied because of the provider specialty. However, it might be able to be appealed if the documentation supports why the visit was performed on a male by an ob-gyn provider. To say the least, the male will probably have to have the services done elsewhere but will end up paying your bill for the services.

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