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Thread: Preventive visit, office visit, and a procedure on same DOS.

  1. #1
    Join Date
    Apr 2007

    Exclamation Preventive visit, office visit, and a procedure on same DOS.

    AAPC: Back to School

    I need clarification and confirmation on this issue. We have a claim that was billed on the same DOS codes:

    99396- Preventive visit
    99213 with mod 25- E/M visit
    11302- Shave skin lesion

    We are getting a deny edit on the 99396 as being bundled in to 11302.

    My rationale was that modifier 25 will need to also be appended on the 99396 also to make this a distinguish service from procedure 11302. Same concept applied to the 99213 that's why the provider billed it with modifier 25 to eliminate this coding issue.

    Am I correct?

    Thanks in advance for the help!


  2. #2
    Join Date
    Apr 2007

    Default ?

    I would really like clarification on this if anyone knows anything..that would be great! Thanks!

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