Billing > Billing
Two Office Visits on the Same Day
rdmoore2003:
yes u can use level 4 (only once though) and you could go even 1 more level if needed
Yesica:
I dont think I made question clear.
Both of the visits were Office visit level 4.
AM visit Level 4
PM Visit level 4
How can i combine these two. I can I bill a office visit level 5 and prolonged services?
Do I make it clear? ???
aksharhealth:
--- Quote from: Yesica on April 07, 2011, 08:49:24 PM ---I dont think I made question clear.
Both of the visits were Office visit level 4.
AM visit Level 4
PM Visit level 4
How can i combine these two. I can I bill a office visit level 5 and prolonged services?
Do I make it clear? ???
--- End quote ---
Thats the most you can bill is level 5. You cannot bill 2 office visits for same day. No insurance will pay 2 visits for same doc. If 2 visits are provided by 2 different docs and 2 different conditions then some insurances do pay but not Medicare. If it is not Medicare then I will send paper claim along with cover sheet and office notes reqeusting xx% increase in payment. Make sure the dx are billed at highest level. I hope this might help you. This is JMO. I am not a certified coder.
PMRNC:
.
--- Quote --- If 2 visits are provided by 2 different docs and 2 different conditions then some insurances do pay but not Medicare.
--- End quote ---
And it will depend on who gets their claim in first. Carriers will pay the one they receive first!
sl1181:
You can try and bill 99354 prolonged service it must be documented in the chart how much time was spent with the patient and many insurance company ask for notes but they do pay it.
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