Results 1 to 3 of 3

Billing Echo on same day as sub hospital visit

  1. #1
    Location
    Charleston, WV
    Posts
    97
    Default Billing Echo on same day as sub hospital visit
    Medical Coding Books
    I work for a Cardiologist and we often perform intrep of echo's on the same day that we do a subsquent hospital visit. I have been told several different things. I have been instructed not to bill the sub hospital visit just the echo intrep. I also been instructed to bill both with a mod 25 appended to the sub hospital visit. If you bill both without the modifier the sub hospital visit always gets denied. If anyone has suggestions as to which is appropiate I would appreciate knowing. This is a continual problem in the practice & I want to be sure to bill correctly.
    Thanks
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

  2. #2
    Location
    Richardson, Texas
    Posts
    170
    Default
    The -25 modifier should be appended only to the E/M visit. Both services on the same date of service should be reimbursed as long as rprovided and documented separately. Careful assignment of ICD-9 codes supported by the documentation is also very important. This is a denial we appeal with submission of the medical records.
    Linda Hallstrom, CPC, CPMA, CPC-I, CEMC
    Richardson, TX AAPC Chapter

  3. #3
    Location
    Charleston, WV
    Posts
    97
    Default
    Thank you for your answer. I thought the 25 was the way to go but it's nice to know for sure.
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

Similar Threads

  1. Same day hospital charges w/echo
    By lashuniafrazier@gmail.com in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-09-2012, 08:51 AM
  2. Echo Interp & Hosp Visit on Same Day
    By bmcquilling in forum Cardiology
    Replies: 8
    Last Post: 04-01-2011, 10:55 AM
  3. Hospital billing for Stress Echo
    By cookc in forum Cardiology
    Replies: 0
    Last Post: 12-08-2010, 10:50 AM
  4. Replies: 3
    Last Post: 02-05-2010, 10:12 PM
  5. Replies: 3
    Last Post: 06-26-2009, 07:54 AM

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.