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Help confused

  1. Default Help confused
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    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
    Location
    Columbia, MO
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    12,570
    Default
    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. Default modifier
    Doyou need to put a modifier on the E&M?

  4. Default
    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.
    99213-25
    29505-RT or LT
    L code

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