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Thread: Orthotics Fitting during E/M

  1. #1

    Default Orthotics Fitting during E/M

    AAPC: Back to School
    When billing for fitting of orthotics, is it still appropriate to bill for the E/M visit or would this be included in the fitting?
    Ex: 99213, 25
    Should I append a modifier to the 97760?

    Thanks for your help!

  2. #2
    Join Date
    Apr 2007
    Covington, LA

    Default Documentation tells the tale

    It depends on the physicians documentation. If the patient is only coming in for orthotics fitting then you cannot bill for the E&M. If the patient comes in for a visit and during the visit your physician decides the patient needs an orthotic and does the training for it lasting at least 15 minutes then you would bill the E&M with a 25 modifier.

    Hope this helps,

  3. #3


    Thank you this definitely helps!

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