Results 1 to 3 of 3

Orthotics Fitting during E/M

  1. #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
    Should I append a modifier to the 97760?

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

  2. #2
    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!
    Be Blessed!
    Zaida D. McGarry, CPC

Similar Threads

  1. orthotics
    By chewri in forum Orthopaedics
    Replies: 2
    Last Post: 10-02-2015, 03:47 PM
  2. Orthotics
    By barelybe in forum Podiatry
    Replies: 3
    Last Post: 03-21-2013, 02:00 PM
  3. orthotics - We are getting denials from Insurances
    By leastham in forum Orthopaedics
    Replies: 2
    Last Post: 12-13-2011, 02:38 PM
  4. orthotics + OV
    By solocoder in forum E/M
    Replies: 1
    Last Post: 05-24-2011, 11:21 AM
  5. Replies: 3
    Last Post: 04-07-2010, 06:02 AM

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?


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.