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Procedure during office visit
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Topic: Procedure during office visit (Read 3371 times)
rlopez32
Newbie
Posts: 15
Procedure during office visit
«
on:
December 16, 2011, 08:22:53 PM »
Hello Everyone
I have a pediatrician who removed something from a child's nose and I billed 10120 but also billed the office visit 99213. The ins applied the whole charge of the 10120 to the patients deductible and didn't cover the office visit as it was incidental to the procedure performed. Is there a modifier I need to bill to have them pay for the office visit also?
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PMRNC
Hero Member
Posts: 4562
Re: Procedure during office visit
«
Reply #1 on:
December 16, 2011, 09:33:10 PM »
Ah the joys of the easy removal of pea's from kids noses.. The OV is supposed to be bundled with the procedure. I'm assuming they didn't just see the thing up his nose while going for some other reason?
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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SLITTLES
Jr. Member
Posts: 62
Re: Procedure during office visit
«
Reply #2 on:
December 16, 2011, 10:18:19 PM »
If the office visit was separate from the procedure, you can append mod 25 to the 99213, however if the reason for the office visit was for something in the kids nose, then no you shouldn't add a modifier.
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Shontel Littles
" Show Me The Money"
Medical Billing Forum
Re: Procedure during office visit
«
Reply #2 on:
December 16, 2011, 10:18:19 PM »
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Medical Billing Forum
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Procedure during office visit