Medical Billing Coding - E & M with 64405, cpt, codes
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Thread Topic: E & M with 64405
Topic Originator: Sam
Post Date June 2, 2014 @ 10:57 PM
E & M with 64405


Sam
June 2, 2014 @ 10:57 PM Reply  |  Email Friend   |  |Print  |  Top

Medicare claim partially paid. 64405 Paid but 99214 not. Physician provided E & M service plus 64405 Injection anesthetic agent. As Per CCI EDITS modifiers are allowed if both are billed together. We put modifier 25 for 99214. Any suggrstions.

Gerald
June 4, 2014 @ 10:12 AM Reply  |  Email Friend   |  |Print  |  Top

Modifiers 51 and 59

Maureen Kemme
February 7, 2015 @ 5:31 PM Reply  |  Email Friend   |  |Print  |  Top

The modifier 25 on the office visit is correct. Medicare may want records showing that there were evaluation and management services. I would call Medicare and see if this is the case.



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