Medical Billing Coding - 99214, J0696 & 96372, cpt, codes
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Thread Topic: 99214, J0696 & 96372
Topic Originator: Alice
Post Date January 22, 2009 @ 3:40 PM
99214, J0696 & 96372

January 22, 2009 @ 3:40 PM Reply  |  Email Friend   |  |Print  |  Top

Per Medicare this is unbundalbe with the use of a Modifier and they will pay it.  Does anyone know what that Modifier would be?

angela clinton
January 23, 2009 @ 1:59 PM Reply  |  Email Friend   |  |Print  |  Top

I am in an urgent care setting.  We see this all the time.  We append the modifier 25 to the office visit.

January 30, 2009 @ 7:32 PM Reply  |  Email Friend   |  |Print  |  Top

I am having the same problem with Palmetto since 1/1/09.  Denial reason is "service not payable with other service rendered on the same date".  CPT 96372 is being denied even with modifier -25 after EM code.

February 25, 2009 @ 3:20 PM Reply  |  Email Friend   |  |Print  |  Top

I had the same problem, and finally, after a month of finding no information about the problem, Palmetto GBA (our carrier) has issued an Alert that they've "made an error and a mass adjustment will be taking place".   I don't know if it's because I sent a complaint to their own site's link to re: 'how we're doing' or not, but at least they've acknowledged the problem.

March 22, 2016 @ 2:48 PM Reply  |  Email Friend   |  |Print  |  Top

25 mod with the office visit

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