Results 1 to 3 of 3

99233-25 w/ 93306-26

  1. Default 99233-25 w/ 93306-26
    Medical Coding Books
    Has anyone ever received any denials for these 2 codes being billed together on the same day, by the same physician? I've got one insurance company that keeps denying the 93306-26. They say it's being denied incidental to the 99233. Maybe there is a guideline I'm not aware of. It wouldn't be the first time. Any thoughts??

  2. #2
    Yes we have had those denials before here as well. The Medicare MAC that we have states that you either have to bill one or the other. I usually don't bill the 99233 and bill the echo instead. It is considered to be a part of one another and usually only one will get paid.

    Hope this helps
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

  3. #3
    I don't see why you shouldn't be able to. I can't say I've seen denials for this.

    There are no CCI edits for 93306/99233 being billed on the same day and the global concept doesn't apply to echocardiograms.

    I don't see why you can't bill both services on the same day or why the -25 would be needed.

    Jessica CPC, CCC

Similar Threads

  1. Need help coding this? Is it a 99233
    By jgarcia619 in forum Auditing General Discussion
    Replies: 1
    Last Post: 09-22-2011, 01:12 PM
  2. We got a legit 99233 ??
    By Orthocoderpgu in forum E/M
    Replies: 2
    Last Post: 09-09-2010, 02:18 PM
    By krssy70 in forum E/M
    Replies: 13
    Last Post: 03-08-2010, 11:40 AM
  4. Need help w/ 99233
    By EK226 in forum E/M
    Replies: 9
    Last Post: 11-05-2009, 06:02 AM
  5. 99233 or 99232
    By Gemini18 in forum E/M
    Replies: 1
    Last Post: 07-27-2009, 12:35 PM

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?


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.