Medical Billing Coding - modifier which one ?, cpt, codes
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Thread Topic: modifier which one ?
Topic Originator: Terry
Post Date January 14, 2016 @ 8:36 AM
modifier which one ?

January 14, 2016 @ 8:36 AM Reply  |  Email Friend   |  |Print  |  Top

insurances want a modifier to go with 99214/99215 with extra face to face time as much as 60-90minutes. I paper claim submit only as its a SMALL

Randi Tapio
January 28, 2016 @ 11:52 PM Reply  |  Email Friend   |  |Print  |  Top

we don't know what other codes you're submitting w/ those you listed. if you'd like me to look at them with you, please contact me off-list:

Randi, MN

February 21, 2016 @ 5:12 PM Reply  |  Email Friend   |  |Print  |  Top

Coding with 99354..with 17000 or 11311 etc.

March 10, 2016 @ 9:55 AM Reply  |  Email Friend   |  |Print  |  Top

Terry, from what you have written, I think the issue is not the prolonged care, which is always added to an office visit, it's the office visit with a procedure. You need a modifier 25 to declare the office visit, 992xx, to be distinct from the procedure.

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