Results 1 to 5 of 5

HELP!!documented in note but not listed in bill

  1. #1
    Location
    Spring Hill
    Posts
    65
    Question HELP!!documented in note but not listed in bill
    Medical Coding Books
    Doctor documented vaccine performed but not listed on bill can i still say modifier 25 is necessary with e/m plus he is using a preventive code.
    Last edited by aimie; 10-25-2011 at 08:54 PM. Reason: spelling

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Not quite understanding what you are asking...
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Location
    Spring Hill
    Posts
    65
    Exclamation sorry
    he documented he was providing immunization during preventive exam and also using e/m code with 25 modifier is it appropriate and also not listed on the encounter/bill

  4. #4
    Location
    Spring Hill
    Posts
    65
    Default audit
    i realized after and one or two audits I do them remotely i believe it should be included in preventitive and no e/m This doctor was upcoding
    Last edited by aimie; 10-28-2011 at 02:03 PM. Reason: grammer

  5. #5
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by aimie View Post
    i realized after and one or two audits I do them remotely i believe it should be included in preventitive and no e/m This doctor was upcoding
    The immunization is not included in a preventive exam. If it is documented in the note it should be included on the bill. There is not an additional E/M code, it is the immunization medication and also the administration code that are used in addition to the preventive E/M. Some carriers need a -25 modifier on the preventive exam in order to correctly process the administration of an immunization as they consider it a procedure.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

Similar Threads

  1. Documented time within office visit note
    By LanaW in forum Auditing General Discussion
    Replies: 2
    Last Post: 09-11-2012, 11:26 AM
  2. first listed code?
    By jenmar in forum Outpatient Facilities
    Replies: 1
    Last Post: 05-15-2012, 09:38 AM
  3. Time documented in Prolonged Service note.
    By rtkalvin in forum Billing/Reimbursement
    Replies: 4
    Last Post: 10-13-2011, 11:14 AM
  4. Bill with or without op note???
    By yem5173 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 07-22-2009, 02:16 PM
  5. How long before a note must be documented
    By ScottC314 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-02-2008, 11:32 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?

Login

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.