Patient was scheduled for a new patient prevantative / wellness exam 99385, but it also ended up to be a 99203 new patient E/M as they had medical complaints etc. Provider billed 99385
Can this be done? Can it be appealed if denied? Any feedback would be helpful. We bill well established patient visits, with a established E/M code with a 25 modifier, and most insurance companies do pay after we provide medical records with an appeal.
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