Results 1 to 2 of 2

Phyiscals and Developmental billing

  1. #1
    Default Phyiscals and Developmental billing
    Medical Coding Books
    Anyone who bills for pediatric billing in Rhode Island any help would be terrific.

    Trying to research billing for additional services such as developmental, ADD etc.
    with phyiscals etc.

    Provider mentioned billing
    96110 & 96111
    Anyone have any specifics.
    Delina Thomas-Nieforth, CPC, CPC-I

  2. #2
    Talking 96110
    I'm not from ri but i'm from mass. When it comes to 96110 this should be billed with rov's as long as drs are doing the screenings (peds, mchat, psc,crafft). This code requires a modifier of u1 ( no followup needed) or u2 (followup needed) when billing insurances. I find most insurances in new england will pay for this. Harvard pilgrim requires a modifier of 59(sometimes none at all), not the u1/u2. When it comes to add testing this should be done at a separate visit not during rov. Especially since some insurances won't pay for 2 visits same day. If your drs want to make sure they have 2 separate notes in record to show they performed both services and use a mofidier on the add visit. Hope this helps you. :d

Similar Threads

  1. 96110 Developmental Screening
    By STACYHILTON in forum Pediatrics
    Replies: 0
    Last Post: 02-08-2013, 12:09 PM
  2. Sports Phyiscals
    By SHobbs in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-03-2011, 08:04 AM
  3. Developmental Assessment of Preemies
    By dovejsd in forum Pediatrics
    Replies: 0
    Last Post: 03-20-2009, 06:38 AM
  4. Developmental testing
    By lmjd in forum Pediatrics
    Replies: 1
    Last Post: 08-19-2008, 09:36 AM
  5. developmental therapy
    By Mikka in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-16-2008, 04:03 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.