Medical Billing Forum
Billing => Billing => : Armymom April 29, 2011, 10:32:30 AM
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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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What is it being denied for?
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It says it is not payable with E/M code
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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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Have you tried a 59 modifier
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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.