Wiki Billing e/m with procedure

[BMICHAUN]

Can some help me with this , if we are billing for E/M and procedure on the same HCFA 1500 form , does it matter if the E/M is in the second position example

20610
99213-25

Is there a rule that states the E/M must be first on the claim... if so can you point me in right direction for this information.

Thank you

 

[jpruitt114]

I'm not sure if there is a rule, however it has been my experience that if you put the procedure first on the claim the payer will load that code first and automatically apply a global period that will cause any e/m to deny automatically. Even with the 25 modifier. However if the E/M loads first this doesn't seem to happen. AETNA is a big one for this.