Wiki 31500 emergency intubation with E/M same day

[Trendale]

Hello,
Can someon tell me if 31500 emergency intubation is billable or bundled with a inpatient consult code? I received a denial from medicare stating they want a reimbursement for overpayment of the 31500, implying it is bundled with the E/M. Should I have appended a 25? Can I appeal this?

Thanks!

 

[FTessaBartels]

Yes, you needed -25 modifier

Yes, you needed a -25 modifier on the E/M if it was truly a significant, separately identifiable service from the intubation.

F Tessa Bartels, CPC, CEMC