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Thread: Work Comp - Report / Case Mgr Codes

  1. #1

    Default Work Comp - Report / Case Mgr Codes

    AAPC: Back to School
    Hi fellow coders!

    I have been out of the work comp coding loop for a while here in Massachusetts. Often times the work comp carrier requests reports and the billing dept has been using 99080 however I was told today that is not right.

    The second code that totally mystifies me is the code for consult with a work comp case manager.

    If anyone could help me out with these two codes I would greatly appreciate it. It seems when I ask the carriers - they tell me they have not idea or they cannot advise me -

    Thank you so much!!!


  2. #2

    Default cwill/cpc

    look on page 29 , bottom right, of the 2010 CPT Professional Edition. 99366-99368.

  3. #3

    Default work comp. case mngr codes

    99366 is reported for conference services by the non-physician provider (PA or NPP) when seen face-to-face with the patient and the case nurse mngr or rehab specialist for coordination of care outside normal practice. If the MD provides the services with a visit encounter/follow-up, then -RS modifier is used with the applicable E&M visit code. (The Ga. State W/C Fee Schedule allows 50% additional to the E&M allowable amount.) As proof the nurse or specialist attended the visit with the w/c patient, have them date & sign their business card and attach/scan it to the patient's sign in encounter form for that day.

  4. #4

    Default Work Comp Codes

    Thank you Williamson2 and Code4you123 for your help!!!

    Appreciate it!!!


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