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W/c + commercial

  1. #1
    Long Island/New York
    Question W/c + commercial
    Medical Coding Books
    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?


  2. Default
    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.

  3. #3
    Long Island/New York

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