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Thread: Billing for Workman's comp Injections

  1. #1
    Join Date
    Apr 2007

    Default Billing for Workman's comp Injections

    AAPC: Back to School
    I have it laid out like this 99214.25, 20552,20552.76,20552.76, 98940.59, 97014.59 is this the correct way I am having trouble with the modifiers so what do i do or is this way correct.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    you cannot bill with the 76 modifier unless you can show that these were performed in separate sessions. 20552 is a multiple code for 1 or 2 muscles and can only be billed one time with 1 unit. If you have injections of more than 2 muscles then you would use 20553 with 1 unit. If the 98940 and 97014 are bundled and these were all performed on the same muscles then you cannot use the 59 modifier and they cannot be unbundled, you would need to drop them.

    Debra A. Mitchell, MSPH, CPC-H

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