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Thread: CPT codes billing for NPs

  1. #1
    Join Date
    Apr 2007

    Default CPT codes billing for NPs

    AAPC: Back to School
    Can someone give me some direction on how to find the CPT list that are linked to be billable for NPs? I had a denial from an insurance company on a 99202 for a NP stating they could not bill for that service and the insurance company advised that I go to AMA for that list. I have searched and searched and can not find it. Any help would be appreciated

  2. #2
    Join Date
    Apr 2007
    Evansville Indiana

    Default NP

    I am not aware of any such list. This is normally determined by the State Scope of Practice for NP's in your state. If your particular state does not allow NP's to see new patients that would explain why it was denied. Incident to does not allow NP's to see new patients and bill under the MD's NPI number, but if you billed under the NP's NPI number this would not apply.


  3. #3
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    We use the md of the day as the billing provider. some states do not recognize Mid Level Providers as primary care. They provider the sevice only...MCR requires a GF modifier to tell the difference...Does this ins co want the same.?...
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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