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Author Topic: Billing a preventative care (99385) and separate office visit same day  (Read 1541 times)

mloene09

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Billing a preventative care (99385) and separate office visit same day
« on: September 02, 2010, 09:22:13 AM »
I have a question regarding one of the offices I bill for always bills a well exam and separate office visit on the same day is that legal ??
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oneround

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Re: Billing a preventative care (99385) and separate office visit same day
« Reply #1 on: September 02, 2010, 10:56:45 AM »
As long as the other is medically necessary to be provided in conjunction with the preventative.  make sure to attach e Mod- 25.  The medical necessity for the additional E/M must be well documented
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Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

medauthor

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Re: Billing a preventative care (99385) and separate office visit same day
« Reply #2 on: September 02, 2010, 11:11:03 AM »
Yes, and be sure to attach the V code to the prev visit and your other diagnoses to your ov  :)
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Michelle Rimmer, CHI, CPMB
President-Professional Medical Billers Association
Owner-ABA Therapy Billing Services
Author, 'Medical Billing 101' and 'Coding Basics: Understanding Medical Collections

Michele

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Re: Billing a preventative care (99385) and separate office visit same day
« Reply #3 on: September 04, 2010, 11:51:06 AM »
I would find it odd if they did that on EVERY well visit though.  It does happen, but not on every patient that has a well visit.
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