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Claim denied for part of global service

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Alice Scott:
Question
Hi,
I'm new on the billing job. I've received a few denied claims on E/M code 99213, and the remark for it is: The procedure or supply is part of the global service. These charges are not eligible for separate reimbursement.
But it is 99213 for office visit. What do I do to get reimburse from carrier? Thanks a lot.
?
P.L. in CA

Answer

HI PL,
   You must be billing other codes on the claim, or the visit is during a post operative period.  If there are other services on the claim, they are saying that the 99213 is part of the other service.  If the patient had a surgical procedure, they are saying that the office visit falls within the period for post operative care.

Michele

LWatts:
Hi P.L.,

If your carrier recognizes modifiers, use a 24 modifier if the office wasn't related to the procedure that was performed. When write your review I would include a copy of the office note along with a correct claim. I hope this helps.

Lisa
Alabama

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