Results 1 to 3 of 3

Billing Question

  1. #1
    Default Billing Question
    Exam Training Packages
    A Patient Comes In For A Procedure But Is New To The Physician Can We Bill For A New Patient Ov As Well As The Procedure If The Physician Does An H/p?

  2. #2
    Default
    The CPT book gives the guidelines for billing both an E/M and a Preventive visit on the same date of service under the "Preventive" section. It states that both and E/M & a Preventive Exam can be billed using a (-25) on the E/M if "...problem/abnormality is significant enough to require additional work to perform the key components of a problem-oriented E/M service, then the appropriate Office/Outpatient code 99201-99215 should also be reported." Hope this helps...also, the "AAFP" website has some good articles regarding this same issue.
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  3. #3
    Default
    Oh! Chequita...I'm so sorry, I misread your question; I apologize. It is my understanding that a procedure and a new patient visit can be billed if the e/m is "significantly identifiable" from the procedure by appending either a
    (-25) or a (-57) modifier (depending on the procedure's global days).
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

Similar Threads

  1. Billing Question
    By acosta6 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 01-30-2015, 02:20 PM
  2. Billing Question
    By tcoder5 in forum Podiatry
    Replies: 4
    Last Post: 08-26-2013, 07:20 AM
  3. Replies: 1
    Last Post: 11-02-2010, 09:54 PM
  4. billing question
    By paula f3 in forum Anesthesia
    Replies: 3
    Last Post: 10-10-2009, 03:39 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.