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Orthotics Fitting during E/M

  1. Default Orthotics Fitting during E/M
    Medical Coding Books
    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
    97760
    Should I append a modifier to the 97760?

    Thanks for your help!
    Be Blessed!
    Zaida D. McGarry, CPC

  2. #2
    Location
    Covington, LA
    Posts
    89
    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,
    Angie

  3. Default
    Angie,
    Thank you this definitely helps!
    Be Blessed!
    Zaida D. McGarry, CPC

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