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Pulmonology Coding Alert

You Be the Coder:

Rejection is Not the End of Claim

Published on Fri Oct 24, 2014

Question: My doctor saw a Medicare patient in the office, and we billed 99214. He wanted spirometry, pre and post and diffusion capacity performed at the same time. I billed 99214 with a modifier 25 and 94060 and 94729 without modifiers, as I have done for years. Now only the visit is being paid for and the tests were declined with [...]
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