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99363 and 99364

  1. Question 99363 and 99364
    Medical Coding Books
    Hello! I am aware of Medicare not covering these codes as bundled to an E/M service. Is anyone aware of what insurances do cover the codes? Thank You!

  2. Default
    You did have mod 25 on your E&M code right? It appears you can only bill these codes every 90 days.

  3. #3
    Columbia, MO
    CMS issued a statment when these codes were introduced that their intention was to bundle these codes with E&M codes even with a 25 modifier. The reimbursement is very good and yes you must have a solid 90 timeframe in between codes not a day shy of 90 either!

    Debra A. Mitchell, MSPH, CPC-H

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