Page 2 of 2 FirstFirst 12
Results 11 to 14 of 14

Billing 96372 with 86580

  1. #11
    Default
    Exam Training Packages
    25 modifier is not necessary on the E&M when only labs are performed

  2. #12
    Default
    Quote Originally Posted by kramsey78 View Post
    Is it appropriate to bill 99211-25 with the 86580, if the patient is seeing a nurse only for the initial ppd placement?
    you cannot bill a 99211 with the placement of a ppd.

  3. #13
    Default
    Quote Originally Posted by lgardner View Post
    you cannot bill a 99211 with the placement of a ppd.
    Thank you for your reply. Please advise what your rationale is behind your answer. Also, what are your credentials?

  4. #14
    Location
    Columbia, MO
    Posts
    12,570
    Default
    You cannot bill a 99211 with the PPD placement when that is the reason for the encounter. There is no assessment that is over above and beyond the PPD. Therefore it is not appropriate to bill a visit as significant and separate.

    Debra A. Mitchell, MSPH, CPC-H

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Billing 96372
    By betty.harder in forum Billing/Reimbursement
    Replies: 7
    Last Post: 09-08-2015, 11:44 AM
  2. Billing E/M with 96372
    By rebec26@juno.com in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 11-06-2014, 05:07 AM
  3. ppd 86580 place of service 22 with consolidated billing
    By Susan Carter CPC in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-07-2014, 10:39 AM
  4. coding 86580 and 96372 for admin of celestone
    By rlreynolds in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-23-2012, 04:58 PM
  5. Billing 96372 more than once
    By chrislyn1977 in forum Internal Medicine
    Replies: 7
    Last Post: 12-02-2009, 12:38 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?

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.