Author Topic: Med Card and EP doc same group  (Read 1276 times)

CPGCardio

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Med Card and EP doc same group
« on: October 08, 2012, 11:39:18 AM »
Medical cardiologist sees patient and EP doc from same group sees patient same day. Patient has medicare.    Can 2 99221-99223 codes be billed on same day if different dx codes are used.   would a 25 modifier be appropriate or needed for the EP consult?   

Michele

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Re: Med Card and EP doc same group
« Reply #1 on: October 09, 2012, 08:23:08 AM »
You can bill the two codes but I don't believe Medicare will allow two visits from drs in the same group (billing under same EIN/Group NPI) on the same date of service.  I do not believe the 25 modifier will make a difference with two 992** codes.
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PMRNC

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Re: Med Card and EP doc same group
« Reply #2 on: October 09, 2012, 08:38:49 AM »
Medicare won't pay for more than one consult per day, I believe, even if it's done within a diff group/provider,  They will pay the first one that is received.
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