Author Topic: What pays more?  (Read 868 times)

mruiz12

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What pays more?
« on: January 12, 2011, 03:42:46 PM »
My Dr. is wanting to give him an answer on when he bills out with office and procedure does he he get paid more if he does the procedure on a different day. We do bill for example 99213 mod 25 dx 401.9
and a 17000 with dx 702.19. We get paid no problem. But he wants to know if he bills the 17000 on a different day will he be reimbursed more than when he bills it with the office vist. ???
« Last Edit: January 12, 2011, 03:44:32 PM by mruiz12 »

pattil88

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Re: What pays more?
« Reply #1 on: January 13, 2011, 01:57:48 PM »
Billing the 17000 for a different date of service should not result in a higher reimbursement. The date of service(s) billed should match the date(s) of service documented in the medical record.

oneround

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Re: What pays more?
« Reply #2 on: January 13, 2011, 03:02:40 PM »
Ditto with Patti, the only difference is that your E/M DOS would not contain the 25 mod.
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