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17110 DENIAL IN CONJUNCTION WITH 99214
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Topic: 17110 DENIAL IN CONJUNCTION WITH 99214 (Read 6806 times)
joyce
Newbie
Posts: 11
17110 DENIAL IN CONJUNCTION WITH 99214
«
on:
November 27, 2012, 01:51:32 PM »
Hello,
I have a patient who on 08/21/12 had a surgery with a global of 90 days. On 08/31/12 she had another un-related surgery, therefore I billed it as shown below.
DX: 078.19
99214 (24)
17110
The carrier paid only the 17110 and stated that the 99214 is global to the 17110.
Should I have billed the 99214 with modi 24 and 25? I believe I should have done that, but I just wanted to make sure there is not something else that I should have done as well.
Thanks,
Joyce
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Michele
Administrator
Hero Member
Posts: 5927
Re: 17110 DENIAL IN CONJUNCTION WITH 99214
«
Reply #1 on:
November 29, 2012, 01:53:13 PM »
I believe you need to use the 79 modifier on the 17110 to indicate: Unrelated Procedure or Service by the Same Physician
During the Postoperative Period and the 25 modifier on the 99214 to indicate Significant, separately identifiable evaluation and management (E/M) service by the same physician* on the day of a procedure. Obviously this is based on information given, and I don't have access to patient's records to verify if that coding is appropriate.
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joyce
Newbie
Posts: 11
Re: 17110 DENIAL IN CONJUNCTION WITH 99214
«
Reply #2 on:
December 05, 2012, 01:17:23 PM »
Thanks Michele! I was able to get it paid with 99214-24 and 17110-79
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17110 DENIAL IN CONJUNCTION WITH 99214