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92012 & 92015

  1. Default 92012 & 92015
    Medical Coding Books
    Hello, is it necessary to add a modifier when 92012 & 92015 are billed together? Also, is there ever a time when 92012 will be billed twice on the same day or visit?

  2. #2
    No modifier need when billing vision or medical ins. If billing Medicare, you would add modifier -GY to 92015 because it's not a covered benenfit.

    The only time you would bill 92012 twice in the same day is if the first time pt came is was for one reason, & the second time was for a completely different reason. e.g. if the pt came in for an eye exam, then later came in for emergency (foreign body, etc..). the second service you can code as e/m service and add mod. -25
    Last edited by drakena74; 01-13-2012 at 05:51 PM.
    Jennifer DeWitte, CPC, CPC-P, CPB, AAPC Fellow
    Newport Center Surgical
    Coding & Billing Department
    Vice President
    AAPC Fullerton, CA Chapter

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