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billing an em code with a 11200

  1. Default billing an em code with a 11200
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    My doctor saw a long term pt in the nursing home. She had a horney type mole/skin tag that he did a suture ligation on. The question is should we bill a 11200 instead of the nursing home procedure 99308 or bill with a modifier?

  2. #2
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    Quote Originally Posted by RJENNINGS View Post
    My doctor saw a long term pt in the nursing home. She had a horney type mole/skin tag that he did a suture ligation on. The question is should we bill a 11200 instead of the nursing home procedure 99308 or bill with a modifier?
    What was the reason for the visit?
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  3. Default
    The doctor went in for a follow up to conjunctivitis and the patient had itchy dry skin. The nurse while he was there had him check the mole.

  4. #4
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    Add a -25 to the e/m. This way you get paid for both services. If the Dr. only performed the skin tag removal you would not bill an e/m.

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