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I work for a family practice.

  1. #1
    Default I work for a family practice.
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    I'm in a family practice setting.

    Once in awhile I get these admit reports on my desk. From some of the specialist that work her, they go to the hospital and admit patients. Do there rounds and so on.

    I'm coding the inpatient cpt 99223, but I also have these other serivices done, on this same visit.

    93016
    93018
    93307
    93320
    93325

    Being that the hopital cardiology department will bill for these services also. Would I bill these out with modifier 26.

    Respectfully
    Daniel, CPC

  2. Default
    The hospital will be billing these services for the technical component, you will be billing for the professional component. So you should be billing these as follows:
    93307/26
    93320/26
    93325/26
    93016
    93018

    The treadmill codes are already stating that they are for S&I only, so they do not get a modifier.

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