Coding > Coding
Reimbursement for 94664
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tracys:
How do I get reimbursed for 94664 when billed with an E & M code in an office setting? Will they pay if I use modifier 59? Can I also get reimbursed for the drugs used or is it bundled?
Thanks for your help
Michele:
Hi,
If you are billing an E&M code on the same visit as 94664 I would recommend using the 25 modifier on the E&M code. 25 modifier states:
Significant, Separately Identifiable E&M Service by the Same Physician on the Same Day of the Procedure or Other Service:
You should also bill for the drugs separately. Each insurance company will process them according to their own guidelines, some may pay, some may bundle.
Michele
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