Author Topic: Billing two E/M on same DOS  (Read 3276 times)

ccosgrove

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Billing two E/M on same DOS
« on: May 15, 2012, 05:14:48 PM »
I have a resident billing a 99204 and then he is seen by a physician who bills a 99214. Should it be coded as 99204 25 & 99214?

agaspard1

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Re: Billing two E/M on same DOS
« Reply #1 on: May 16, 2012, 12:27:07 AM »
should bill 99214 mod 25 if seen pt for a different unrelated dx.

ccosgrove

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Re: Billing two E/M on same DOS
« Reply #2 on: May 16, 2012, 03:43:23 PM »
No it is the same DX. DX of myelomeningocele 741.02, it is the most severe case of spina bifida

PMRNC

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Re: Billing two E/M on same DOS
« Reply #3 on: May 16, 2012, 04:50:07 PM »
Are these doctors in the same practice? I don't believe you can charge for the two E/M's for same dx per day.
Linda Walker
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ccosgrove

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Re: Billing two E/M on same DOS
« Reply #4 on: May 16, 2012, 06:47:08 PM »
I did find the resident using the verbage "counseling" in doucmentation. Since Medicare doesn not accept consultations we have a cross walk of codes to referr to . Eg. 99241 should be billed as 99204. That is what I think happened. How do I handle that I am not sure, I put Modifier 27 on to the 99214 (that is the second visit of the day and the 1st visit is documented recheck, so this is an established patient.

Medical Billing Forum

Re: Billing two E/M on same DOS
« Reply #4 on: May 16, 2012, 06:47:08 PM »