Author Topic: E&M CPT Code Facility vs. Physician billing  (Read 1710 times)


  • Newbie
  • *
  • Posts: 1
E&M CPT Code Facility vs. Physician billing
« on: December 07, 2009, 03:40:10 PM »
Our facility has opened an OP Courtesy room for specialist to perform follow-up consultations.  We (the facility) provide them with a Medical Assistant.  We have begin to bill CPT 99201 and 99202 for the facility portion.  The physician's are concerned that they cannot bill for the same service and now the question is "how do they bil"?  Can anyone shed some light?  Is there a modifier or is it just enough that they bill on a 1500 for professional and we bill on a UB04 for the facility?


  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4930
    • Solutions Medical Billing
Re: E&M CPT Code Facility vs. Physician billing
« Reply #1 on: December 07, 2009, 07:32:14 PM »
I wasn't aware that a facility could charge for a 99201 or 99202.  If that is possible, I would advise the dr to still bill the appropriate code for his visit since he is providing the service.

Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF