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Can these codes be billed together?

  1. #1
    Default Can these codes be billed together?
    Medical Coding Books
    Our office received information that we cannot bill E&M codes 99211 or 99201with a 96402.

    Is this correct? Thanks.

  2. #2
    If you are seeing the patient as a new patient, then it is more likely that there was a separately identifiable E/M service, but if the patient is new or established and documentation supports a significantly separate E/M service, it can be billed with a 25 modifier. The E/M must be warranted in the medical record.

    If the patient is coming in just for the chemo, then the nurse visit 99211 would not be billed in addition to the chemo.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    National Advisory Board Member 2018-2021, Region 6 Great Lakes
    Minneapolis AAPC Chapter, Education Officer 2018
    AHIMA ICD-10-CM/PCS Trainer
    AAPC National ICD-10 Trainer

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