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Thread: Help confused

  1. #1

    Default Help confused

    AAPC: Back to School
    I have an office that seen a patient for a sprain ankle. They charged a 99213 plus they put on an splint which was an L code. Plus they also charged 29505 for putting on the splint. There was no other DX available for this visit. Are they allowed to charge the E&M plus the administration for the splint?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Yes they can charge for both as long as the documentation supports significant and separately identifable E&M in addition to the application. It is not required to have two dx to do this.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default modifier

    Doyou need to put a modifier on the E&M?

  4. #4


    Quote Originally Posted by mamacase1 View Post
    Doyou need to put a modifier on the E&M?
    Yes you have to put a 25 mod on the E&M when billed with a procedure code that carries a 0 or 10 day global.
    29505-RT or LT
    L code

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