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Help! Split bill question

  1. #1
    Smile Help! Split bill question
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    Hey! I'm new to coding and here is my scenario:
    The Dr. saw a new patient who requested a physical, scheduled the apt as a physical, signed the waiver, etc.
    The Dr did the physical but the patient also had a medical issue reviewed/treated. Can I split bill this DOS into a 99203/99386?

    Thank you!!
    Amy

  2. #2
    Location
    Sioux Falls South Dakota
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    358
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    Quote Originally Posted by AmyLitterell View Post
    Hey! I'm new to coding and here is my scenario:
    The Dr. saw a new patient who requested a physical, scheduled the apt as a physical, signed the waiver, etc.
    The Dr did the physical but the patient also had a medical issue reviewed/treated. Can I split bill this DOS into a 99203/99386?

    Thank you!!
    Amy
    You can split bill, as long as it is well documented that there is a separately identifiable E/M service. Also, you wouldn't use 99203, as you can't have two "new" patient services on the same day. Normally, we would use the new code on the physical, and established on the E/M for the medical issue. You also need a 25 modifier.

    Hope this helps!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Default
    Thank you very much Cindy! It helps tremendously!

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