Pulmonology Coding Alert

You Be the Coder:

Press the Pause Button Before Billing Oximetry and E/M Together

Question:We are billing an evaluation and management (E/M) code 99212 along with a pulse oximetry and these codes are being refused as bundled. There is no CCI edit for these codes. We provided the services in the office. We have tried to put a modifier 25 on the E/M and a modifier 59 on the 94760 but no success. How [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more