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E/R Visits

  1. #1
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    Default E/R Visits
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    HI,

    We have two different denials on the same CPT codes:
    E/R visits bundled with 90765-90768,
    90765-90768 bundled with the E/R visit

    Which one is correct? and where can I get this info in writing.


    Sandra Monsalve, CPC
    Senior Coding Analyst
    T: (646) 447-7507
    F: (866) 425-0415

  2. #2
    Default
    these codes are not allowed with Medicare....just the drugs in this instance.

    Quote Originally Posted by sandyy2510 View Post
    HI,

    We have two different denials on the same CPT codes:
    E/R visits bundled with 90765-90768,
    90765-90768 bundled with the E/R visit

    Which one is correct? and where can I get this info in writing.


    Sandra Monsalve, CPC
    Senior Coding Analyst
    T: (646) 447-7507
    F: (866) 425-0415
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  3. #3
    Default
    would a 25 modifier placed on ER E&M be justified. I code the infusions codes in an urgent care center, i place a 25 modifier on the E&M and Medicare and all carriers pay all codes........I do not know if the rules are different for emergency room......

  4. #4
    Default
    after reading the NCCI in the CMS website I found that the infusion-hydration-push codes are not reimbursed by Medicare....if you have documentation to prove I am wrong pls let me know....I'm still learning and any opportunity to enhance my coding knowledge is surely welcomed....have a gr8 day

    Quote Originally Posted by tammyboyer View Post
    would a 25 modifier placed on ER E&M be justified. I code the infusions codes in an urgent care center, i place a 25 modifier on the E&M and Medicare and all carriers pay all codes........I do not know if the rules are different for emergency room......
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

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