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A question regarding "incident to" - but with a twist

  1. #11
    Medical Coding Books
    Personally, I would not bill an office visit for this service at all. I would look at 98960.

    I see no reason, assuming all incident to requirements are met, as to why you wouldn't bill both services as incident to.

    Laura, CPC, CPMA, CEMC

  2. #12

    We have considered using the 98960, but we discovered that a lot of our carriers are not reimbursing for that code. (We actually contacted a few of our carriers on this issue.)

    But thanks for the input on the "incident to" issue, as that was my thinking also. As "Incident to" refers to services, it doesn't specify only office visits, so I was thinking we could bill the injections along with the office visits as "incident to." I just wanted to see if I was correct in my interpretation of the guidelines and also to see if anyone else is coding for these services.

    Last edited by Colliemom; 04-19-2010 at 01:07 PM.

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