sdb67
Networker
I am receiving several claims back for E&M codes - ex. 99285 & 70450 billed together. The 70450 is being denied as inclusive to the 99285 (facility claim)can someone help me understand why this is happening?
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Wiki E&M for ED
- Thread starter sdb67
- Start date
I am receiving several claims back for E&M codes - ex. 99285 & 70450 billed together. The 70450 is being denied as inclusive to the 99285 (facility claim)can someone help me understand why this is happening?
teresabug
Expert
are you billing physician side pro fee? The 7 series code is for a CT. If you are billing pro fee you will only bill for the E/M ER code. The hospital bills for the CT. If your Dr. interprets the CT (Reads it,writes a report) you bill it with a 26 mod. But I doubt this....hospitals employ radiologists and physicians to interpret these types of tests.
Hope this helped!
Hope this helped!
luhre
Networker
Coding/Data Analyst
You need to apply 25 modifier to the E&M code, 99285 to identify that a procedure identified by a CPT code was performed.
You need to apply 25 modifier to the E&M code, 99285 to identify that a procedure identified by a CPT code was performed.