Author Topic: Billing two E/M on same DOS  (Read 1783 times)

ccosgrove

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Billing two E/M on same DOS
« on: May 15, 2012, 02:14:48 PM »
I have a resident billing a 99204 and then he is seen by a physician who bills a 99214. Should it be coded as 99204 25 & 99214?

agaspard1

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Re: Billing two E/M on same DOS
« Reply #1 on: May 15, 2012, 09:27:07 PM »
should bill 99214 mod 25 if seen pt for a different unrelated dx.

ccosgrove

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Re: Billing two E/M on same DOS
« Reply #2 on: May 16, 2012, 12:43:23 PM »
No it is the same DX. DX of myelomeningocele 741.02, it is the most severe case of spina bifida

PMRNC

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Re: Billing two E/M on same DOS
« Reply #3 on: May 16, 2012, 01:50:07 PM »
Are these doctors in the same practice? I don't believe you can charge for the two E/M's for same dx per day.
Linda Walker
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ccosgrove

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Re: Billing two E/M on same DOS
« Reply #4 on: May 16, 2012, 03:47:08 PM »
I did find the resident using the verbage "counseling" in doucmentation. Since Medicare doesn not accept consultations we have a cross walk of codes to referr to . Eg. 99241 should be billed as 99204. That is what I think happened. How do I handle that I am not sure, I put Modifier 27 on to the 99214 (that is the second visit of the day and the 1st visit is documented recheck, so this is an established patient.