You Be the Coder:
Is 96110 OK With No Face-to-Face?
Published on Mon Oct 12, 2009
Question: A pediatrician receives a completed Teachers Vanderbilt ADHD rating scale in the mail. He interprets it and provides a report in the patient's chart. The physician will discuss the results with the patient and family at the following future appointment. On the day the patient is not present, is 96110 billable? In Pediatric Coding Alert Vol. 12, No 10, the Colorado Subscriber reader question suggests that you have to bill 96110 on the day of another E/M service. Can you confirm this? Connecticut Subscriber Answer: You can bill 96110 (Developmental testing; limited [e.g., Developmental Screening Test II, Early Language Milestone Screen], with interpretation and report) on a date when a patient is not present without a same-day E/M service (such as 99212-99215, Office or other office visit for the evaluation and management of an established patient ...) depending on insurer requirements appended with modifier 25 (Significant, separately identifiable evaluation [...]
