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Thread: Billing codes...

  1. #1
    Join Date
    Apr 2007

    Default Billing codes...

    AAPC: Back to School
    Can 95165 (preparation of serum) be billed with 99214, (office visit)? If so does that also apply to Medicare?

  2. #2
    Join Date
    Apr 2007
    Tacoma, WA


    Quote Originally Posted by aaia2011 View Post
    Can 95165 (preparation of serum) be billed with 99214, (office visit)? If so does that also apply to Medicare?
    If there is a significant, separately identifiable service performed on the same day, you can bill an E/M code and append modifier 25 to the E/M code as long as the documentation supports this service. The separate service should be unrelated to the preparation of the serum since the physician work in doing that is covered in the 95165 code.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

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