Author Topic: Work Comp OV coding  (Read 1173 times)


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Work Comp OV coding
« on: August 12, 2010, 02:34:53 PM »
It is my understanding that with work injuries - every new injury is billed with the new patient E&M codes.
Is this correct?  I have an insurance carrier saying this is wrong.....HELP


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Re: Work Comp OV coding
« Reply #1 on: August 13, 2010, 10:18:42 AM »
New injury / New exam.  Send your Dr.s' 1st Report with the billing and they must pay it (if you are the PTP and do a Dr.s' 1st).  You should bill an established patient visit each time you do a PR-2 as well, they may not pay that, though, if you also did treatment.  (Depends on what kind of office you are, if you are primary or secondary, and of course what your state rules are)


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Re: Work Comp OV coding
« Reply #2 on: August 13, 2010, 12:43:59 PM »
The E/M codes w/b fine unless the carrier is asking for 99455?
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare