Author Topic: Reimbursement for 94664  (Read 1960 times)

tracys

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Reimbursement for 94664
« on: May 09, 2008, 10:58:59 AM »
How do I get reimbursed for 94664 when billed with an E & M code in an office setting? Will they pay if I use modifier 59? Can I also get reimbursed for the drugs used or is it bundled?

Thanks for your help

Michele

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Re: Reimbursement for 94664
« Reply #1 on: May 13, 2008, 03:17:56 PM »
Hi,
   If you are billing an E&M code on the same visit as 94664 I would recommend using the 25 modifier on the E&M code.  25 modifier states:

Significant, Separately Identifiable E&M Service by the Same Physician on the Same Day of the Procedure or Other Service:

You should also bill for the drugs separately.  Each insurance company will process them according to their own guidelines, some may pay, some may bundle.

Michele
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