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Medical Billing Forum
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94664
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Topic: 94664 (Read 4674 times)
Armymom
Newbie
Posts: 4
94664
«
on:
April 29, 2011, 10:32:30 AM »
We have been billing 94664 with E/M code but it keeps getting denied. All of the articles I can find on this say to append mod 25 to E/M code, which we are already doing, the E/M code is paid but 94664 is not. Any help on this?
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Michele
Administrator
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Posts: 5927
Re: 94664
«
Reply #1 on:
April 29, 2011, 10:36:37 AM »
What is it being denied for?
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Armymom
Newbie
Posts: 4
Re: 94664
«
Reply #2 on:
April 29, 2011, 10:43:09 AM »
It says it is not payable with E/M code
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Michele
Administrator
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Posts: 5927
Re: 94664
«
Reply #3 on:
April 30, 2011, 07:56:26 PM »
Is it only one insurance carrier, or is it across the board? Have you called customer service to ask for an explanation? I would start with that. It may be a plan exclusion. The plan may not allow E&M's with 94664. But I would ask for an explanation.
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sl1181
Newbie
Posts: 7
Re: 94664
«
Reply #4 on:
June 04, 2011, 08:07:33 PM »
Have you tried a 59 modifier
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Medical Billing Forum
Re: 94664
«
Reply #4 on:
June 04, 2011, 08:07:33 PM »
pattil88
Newbie
Posts: 43
Re: 94664
«
Reply #5 on:
June 05, 2011, 12:11:42 PM »
CCI edits for Medicare say this is bundled w/the E&M service on the same date of service - many of the commercials will probably do the same.
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Medical Billing Forum
Re: 94664
«
Reply #5 on:
June 05, 2011, 12:11:42 PM »
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94664