Medical Billing Coding - 99214 bundling with lesser cpt, cpt, codes
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Thread Topic: 99214 bundling with lesser cpt
Topic Originator: Lynn
Post Date August 31, 2015 @ 4:52 PM
99214 bundling with lesser cpt


Lynn
August 31, 2015 @ 4:52 PM Reply  |  Email Friend   |  |Print  |  Top

Urology clinic frequently bills 96402-59, J9217 & 99214-25. This year ins companies are bundling 99214 with 96402. Are others experiencing this? Is there a way around, or just stop billing 96402? Thanks.

Kendra
September 2, 2015 @ 2:00 PM Reply  |  Email Friend   |  |Print  |  Top

I do not add modifier -59 to 96402 and I have not had any bundling issues lately. Logically speaking, why would you add modifier -59 to 96402. What other "procedural" code is CPT code 96402 distinct from in order to add the modifier?

santosh guptha
March 18, 2018 @ 9:48 AM Reply  |  Email Friend   |  |Print  |  Top

Chemotherapy procedures are complex and required physician supervision. Hence EM code is not required. You can report EM code if there is separate Evaluation and management is done.

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