Medical Billing Forum

Billing => Billing => Topic started by: Armymom on April 29, 2011, 07:32:30 AM

Title: 94664
Post by: Armymom on April 29, 2011, 07:32:30 AM
We have been billing 94664 with E/M code but it keeps getting denied.  All of the articles I can find on this say to append mod 25 to E/M code, which we are already doing, the E/M code is paid but 94664 is not.  Any help on this?
Title: Re: 94664
Post by: Michele on April 29, 2011, 07:36:37 AM
What is it being denied for?
Title: Re: 94664
Post by: Armymom on April 29, 2011, 07:43:09 AM
It says it is not payable with E/M code
Title: Re: 94664
Post by: Michele on April 30, 2011, 04:56:26 PM
Is it only one insurance carrier, or is it across the board?  Have you called customer service to ask for an explanation?  I would start with that.  It may be a plan exclusion.  The plan may not allow E&M's with 94664.  But I would ask for an explanation.

Title: Re: 94664
Post by: sl1181 on June 04, 2011, 05:07:33 PM
Have you tried a 59 modifier
Title: Re: 94664
Post by: pattil88 on June 05, 2011, 09:11:42 AM
CCI edits for Medicare say this is bundled w/the E&M service on the same date of service - many of the commercials will probably do the same.