Question
Hi,
I'm new on the billing job. I've received a few denied claims on E/M code 99213, and the remark for it is: The procedure or supply is part of the global service. These charges are not eligible for separate reimbursement.
But it is 99213 for office visit. What do I do to get reimburse from carrier? Thanks a lot.
?
P.L. in CA
Answer
HI PL,
You must be billing other codes on the claim, or the visit is during a post operative period. If there are other services on the claim, they are saying that the 99213 is part of the other service. If the patient had a surgical procedure, they are saying that the office visit falls within the period for post operative care.
Michele