Medical Billing Forum
Coding => Coding => : rdmoore2003 September 11, 2015, 05:25:58 PM
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Has anyone had any success with Medicare when coding for 96101 and 96102 in the same day for same patient? They updated information in June 2015 to cover but I personally have had no luck, nor anyone that I know.
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I have not billed both codes together. :(
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If anyone has any luck with this, please post. Specifically looking at 96101 & 96102
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Generally carriers will not pay for these tests on one day. Best to have patient come back for different session. Most won't even authorize both for same day.
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Generally carriers will not pay for these tests on one day. Best to have patient come back for different session. Most won't even authorize both for same day.
I agree Linda. I did find documentation that Medicare updated in June 2015 stating they will cover the 96101 and 96102, along with other codes, on the same day. However, I do not know of anyone that has had success in this and of course Medicare will not elaborate on how they require the codes to be sent, ex: will they require a modifier?