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Office visit w/cerumen removal & Allergy shot...

  1. Exclamation Office visit w/cerumen removal & Allergy shot...
    Medical Coding Books
    We had a pt. come in the office that we billed ins. for cerumen removal (69210), allergy shot (95115) & an office visit (99213). I was wondering if anyone knew the best way to get paid & if I had to use anything other than a modifier 25?

  2. #2
    It depends on the insurance since mh/ntwk/nhp wont pay for both 99213 and should only need mod 25 on 99213 line for other carriers to pay for this..hope this helps!!

  3. Default
    Thanks for the help...I'm going to try it w/the mod/25 and see where we get w/that. I'm sure only one is going to pay but worth a try.
    Thanks again!

  4. Default
    please be certain the doc is removing the earwax, using the appropriate tools as defined in the CPT book.

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