I was told by insurance companies and DHH that with the add on codes- no modifiers are required. I haven't had issues with any except Blue Cross Blue Shield. They are not wanting E/M with therapy add on (90832, 90834 & 90837). We are waiting to see if they actually cover the E/M with medication add on (90833, 90836, & 90837)
I havent had issues with any except Blue Cross Blue Shield. They are not wanting E/M with therapy add on (90832, 90834 & 90837). We are waiting to see if they actually cover the E/M with medication add on (90833, 90836, & 90837)
Quote from: rdmoore2003 on February 27, 2013, 06:41:14 PM I havent had issues with any except Blue Cross Blue Shield. They are not wanting E/M with therapy add on (90832, 90834 & 90837). We are waiting to see if they actually cover the E/M with medication add on (90833, 90836, & 90837)BCBS is reimbursing the E/M + 90833, 90836, & 90838
That's good to hear. I have been resubmitting my 99213/90836(and similar) appointments with the 25 modifier on the first line ONLY for BC/BS because that is what someone from Anthem told my colleague to do. Has that been your experience? Prior to that, in at least one case, they paid the full amount on line one and completely ignored the therapy code.
I'm looking at an ERA indicating that they paid the first line(99214) in full but completely ignored the second line(90836). I'm going to have to call them.