Author Topic: Can we bill 99213 and 93015 together?  (Read 7912 times)

rozannar

  • Guest
Can we bill 99213 and 93015 together?
« on: March 11, 2013, 04:02:21 PM »
Molina is denying for global bundling when we bill the above to codes together? Not sure if it is a common denial for any claims to Molina, or only for this claim? I do not see we per formed a surgery recently for this to be denied for global bundling. According to the billing S/W the billing is correct. They are simply asking to appeal. Any other related issues faced? Any advises please?

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: Can we bill 99213 and 93015 together?
« Reply #1 on: March 11, 2013, 04:44:56 PM »
Assuming this is peds/family?

You might have to use Modifier 25 with the 99213.  Check providers documentation JUST to be safe as they are cracking down on the misuse of modifier 25. IT must only be used to designate " a Significant, Separately Identifiable E/M service by the Same Physician on the Same Day of the Procedure or other Service."  Make SURE it's documented as such ..remember, if it wasn't documented, it wasn't done.

 
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Billergirlnyc

  • Full Member
  • ***
  • Posts: 106
Re: Can we bill 99213 and 93015 together?
« Reply #2 on: March 12, 2013, 01:10:57 AM »
This issue sounds like the mod 25, like Linda stated, but 93015 (global code) is a stress test code and the E/M would need mod 25 otherwise the carrier will only pay for the stress test or in some cases deny outright and make your resub a corrected claim w/o the E/M. The E/M needs to be ABOVE and or unrelated to the stress test, if it's not then you wouldn't bill it at all. Like Linda stated the documentation must support the E/M w/mod 25. Like if the patient was scheduled for the stress test and the doc did an E/M only to confirm current conditions then that's not a mod 25 because it's not a sig/separately E/M service and you wouldn't bill the E/M. Now if he did the stress test and learned the patient had an onset of something new and different than the current condition, well you get it. It's not that the E/M service can't be done, it just needs to be exactly what Linda pointed-out, which your CPT book will back-up and the documentation will back-up.

But if you're saying the insurance denied the entire claim, then you might want to be sure there aren't any limits w/Molina on the patient's policy. Otherwise this claim should be paid w/the correct modifier to the E/M service.   
Don't worry. Be happy.
~Dalia, CPC, CPC-H, RHIT.

mainiaDup

  • Sr. Member
  • ****
  • Posts: 260
    • dapoxetine tablets buy online india
Re: Can we bill 99213 and 93015 together?
« Reply #3 on: November 09, 2022, 03:11:48 PM »
<a href=https://priligy.me/>generic priligy online</a> lovastatin finax glutenfri pannkakor Buyers that had approached Teddy Forstmann included formerYahoo CEO Terry Semel, who was willing to pay 1

ZooxySeno

  • Jr. Member
  • **
  • Posts: 59
    • molecular docking of tamoxifen
Re: Can we bill 99213 and 93015 together?
« Reply #4 on: November 10, 2022, 07:33:25 AM »
cystone generico pristiq 50 mg As JAL is a member of the OneWorld carrier alliance, fellowmembers including British Airways and American Airlinesvoiced concern that a decision favouring ANA at Haneda, theworld s fourth busiest airport, would hurt their grouping bygiving ANA and thus its fellow Star Alliance members an edge atthe hub <a href=http://nolvadex.one/>how does tamoxifen work</a>

Medical Billing Forum

Re: Can we bill 99213 and 93015 together?
« Reply #4 on: November 10, 2022, 07:33:25 AM »

unorgobug

  • Sr. Member
  • ****
  • Posts: 330
    • doxycycline ruined my life
Re: Can we bill 99213 and 93015 together?
« Reply #5 on: November 17, 2022, 09:51:52 PM »
Physiol Behav 1 30 2006; 87 1 185 191 <a href=https://doxycycline.world/>pet doxycyline where to buy</a>

jossibe

  • Full Member
  • ***
  • Posts: 247
    • stromectol ivermectin tablets
Re: Can we bill 99213 and 93015 together?
« Reply #6 on: November 20, 2022, 04:30:40 AM »
In a recent survey 3 of radiation oncologists, 1, 137 respondents from North America and Europe 88 <a href=https://stromectol.ink/>stromectol stock</a> Several previous reports from experimental studies have demonstrated that tamoxifen plays neuroprotective roles in spinal cord injury 7, intracerebral hemorrhage 8, brain ischemia 9, and hypoxic ischemic brain injury 10

royagma

  • Sr. Member
  • ****
  • Posts: 326
    • generic of furosemide bad for your kidneys
Re: Can we bill 99213 and 93015 together?
« Reply #7 on: November 21, 2022, 10:57:55 AM »
Nolvadex 20 mg comprimidos recubiertos con pelГ­cula CIMA <a href=https://lasix.autos/>half life of lasix</a> It has also tainted our politics because it lies behind the belief that the British political system is not truly democratic

lapound

  • Sr. Member
  • ****
  • Posts: 340
    • do you have to use finasteride forever
Re: Can we bill 99213 and 93015 together?
« Reply #8 on: December 11, 2022, 07:40:27 PM »
PMID 30677065 Free PMC article <a href=http://cialis.pics>purchase cialis</a> Both Tam R cell growth and invasion are therefore sensitive to the inhibitory actions of the selective EGFR tyrosine kinase inhibitor gefitinib 32 35

awaixebra

  • Full Member
  • ***
  • Posts: 239
    • taking 2 cialis pills at once
Re: Can we bill 99213 and 93015 together?
« Reply #9 on: December 12, 2022, 07:28:11 AM »
was just wondering <a href=http://propecia.hair>finasteride 5mg no prescription cheap</a> The Oxandrolone steroid is a spread concoction and it is often used of women bodybuilders

Medical Billing Forum

Re: Can we bill 99213 and 93015 together?
« Reply #9 on: December 12, 2022, 07:28:11 AM »

Vogegrorb

  • Sr. Member
  • ****
  • Posts: 334
    • is levitra still on the market
Re: Can we bill 99213 and 93015 together?
« Reply #10 on: December 12, 2022, 10:00:58 AM »
<a href=http://ccialiss.icu>best place to buy cialis online</a> Despite initial promise of efficacy, the use of LDN for chronic disorders is still highly experimental

piegmen

  • Sr. Member
  • ****
  • Posts: 326
    • durjoy dapoxetine hcl
Re: Can we bill 99213 and 93015 together?
« Reply #11 on: December 13, 2022, 03:49:54 PM »
f, g Glucose tolerance tests GTT 5 days after the end of tamoxifen with glucose curves f and GTT area under curve AUC calculations g <a href=http://sviagrass.monster>is viagra a blood thinner</a>

easetty

  • Full Member
  • ***
  • Posts: 141
    • bogush and tamoxifen
Re: Can we bill 99213 and 93015 together?
« Reply #12 on: January 26, 2023, 07:49:39 PM »
Watch out for fragrance heavy and strong soaps, sometimes marketed for baby <a href=http://stromectol.skin>stromectol and alcohol</a>

astonry

  • Jr. Member
  • **
  • Posts: 99
    • clomid twins
Re: Can we bill 99213 and 93015 together?
« Reply #13 on: January 27, 2023, 12:55:01 PM »
Call your vet if your dog experiences breathing difficulties or facial swelling after receiving Lasix, as that could be signs of an allergic reaction <a href=https://stromectol.skin>stromectol 3 mg tablet</a>

Dradvarma

  • Jr. Member
  • **
  • Posts: 91
    • stromectol tablet tГјrkiye
Re: Can we bill 99213 and 93015 together?
« Reply #14 on: January 28, 2023, 05:00:39 PM »
Such findings were with therapeutic significance suggesting that autophagy might serve as a potential target for treating allergic diseases <a href=https://priligy.skin>priligy buy</a> The data presented in Tables 4 and 5, collectively reveal a characteristic difference in the noise involving all testing parameters between experiments conducted on different qPCR platforms

Medical Billing Forum

Re: Can we bill 99213 and 93015 together?
« Reply #14 on: January 28, 2023, 05:00:39 PM »