Author Topic: 94664  (Read 2555 times)

Armymom

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94664
« on: April 29, 2011, 07:32:30 AM »
We have been billing 94664 with E/M code but it keeps getting denied.  All of the articles I can find on this say to append mod 25 to E/M code, which we are already doing, the E/M code is paid but 94664 is not.  Any help on this?

Michele

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Re: 94664
« Reply #1 on: April 29, 2011, 07:36:37 AM »
What is it being denied for?
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Armymom

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Re: 94664
« Reply #2 on: April 29, 2011, 07:43:09 AM »
It says it is not payable with E/M code

Michele

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Re: 94664
« Reply #3 on: April 30, 2011, 04:56:26 PM »
Is it only one insurance carrier, or is it across the board?  Have you called customer service to ask for an explanation?  I would start with that.  It may be a plan exclusion.  The plan may not allow E&M's with 94664.  But I would ask for an explanation.

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sl1181

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Re: 94664
« Reply #4 on: June 04, 2011, 05:07:33 PM »
Have you tried a 59 modifier

pattil88

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Re: 94664
« Reply #5 on: June 05, 2011, 09:11:42 AM »
CCI edits for Medicare say this is bundled w/the E&M service on the same date of service - many of the commercials will probably do the same.