Results 1 to 4 of 4

Bronchitis Treatment

  1. #1
    Question Bronchitis Treatment
    Exam Training Packages
    We had a patient come in with bronchitis. The provider charged 99214, 94640 and 94060. According to cci edits, the 94640 is included in the 94060, but can be billed with a modifier. Can anyone suggest which modifier to use and does the e/m need a modifier? Insurance is Harvard Pilgrim. Thanks for your help.

    Sharon

  2. #2
    Default
    I believe your looking for mod 25.

    Roxanne Thames, CPC


    Quote Originally Posted by sstone View Post
    We had a patient come in with bronchitis. The provider charged 99214, 94640 and 94060. According to cci edits, the 94640 is included in the 94060, but can be billed with a modifier. Can anyone suggest which modifier to use and does the e/m need a modifier? Insurance is Harvard Pilgrim. Thanks for your help.

    Sharon

  3. #3
    Thumbs up
    MODIFIER 25 is what you are looking for....

  4. #4
    Default
    I think you are looking for a 25 on the e/m if a seperate evaluation and management was done, and a 59 on the 94640

Similar Threads

  1. Replies: 3
    Last Post: 12-13-2015, 11:31 AM
  2. COPD and Bronchitis
    By Nkeith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-22-2015, 12:14 PM
  3. Asthma and Bronchitis
    By tharal in forum Diagnosis Coding
    Replies: 3
    Last Post: 04-15-2015, 12:31 PM
  4. Bronchitis
    By kumeena in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-14-2013, 11:18 AM
  5. Copd with bronchitis
    By heatherwinters in forum Diagnosis Coding
    Replies: 1
    Last Post: 10-27-2009, 10:34 AM

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?

Login

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.