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HElp need to bill claim... help please

  1. Angry HElp need to bill claim... help please
    Medical Coding Books
    our doctor wants to bill a 99396 99213 and 17000

    99396
    99213, 25
    17000, 51

    Giving that I audit and find that the documentation supports the additional office visit, would this be the way to code this. I tell them all the time do not do this and they do not listen.

    danielle

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by Ridergurl View Post
    our doctor wants to bill a 99396 99213 and 17000

    99396
    99213, 25
    17000, 51

    Giving that I audit and find that the documentation supports the additional office visit, would this be the way to code this. I tell them all the time do not do this and they do not listen.

    danielle
    If supported by documentation...

    99396
    99213-25
    17000

  3. #3
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    On claims with two E/M charges, such as this one, I always had trouble getting both paid on the first submission. I started appending modifier 25 to both E/M charges, now most get paid first time.

    99396-25
    99213-25
    17000

    Make certain that your preventive / problem diagnoses are linked correctly.


    Bill Hale, CPC

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