AAPC - Back to school
Results 1 to 3 of 3

Thread: W/c + commercial

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Question W/c + commercial

    AAPC: Back to School
    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. #2


    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
    Join Date
    Apr 2007
    Long Island/New York



Similar Threads

  1. G0121 for commercial payers?
    By erina586 in forum Outpatient Facilities
    Replies: 2
    Last Post: 03-20-2014, 10:15 AM
  2. WC and Commercial
    By CMBA4 in forum Orthopaedics
    Replies: 5
    Last Post: 09-05-2013, 06:39 AM
  3. W/C + Commercial Ins E/M's
    By nyyankees in forum E/M
    Replies: 0
    Last Post: 06-22-2011, 10:42 AM
  4. Commercial Payor Policy
    By PLAIDMAN in forum Compliance General Discussion
    Replies: 1
    Last Post: 12-05-2010, 07:28 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.