maryanneheath
Guru
Hi everyone,
My billing department is having some problems and is hoping to get some clarification....
A patient comes into our specialty clinic with knee pain. The doctor completes an office visit (E/M) then decides to do an injection or aspiration/injection.
We bill a 9920XXXX for the office visit, appended with modifier 25, and also the CPT range 2060XXXX for the injection, as the pt did not come in specifically to receive an injection, and the doctor has done a complete work up, as well as the injection procedure.
Some insurance companies are denying this, saying that the pt came in for knee pain, for example, and that the injection procedure is not separately identifiable from the E/M...
Any advice or comments would be most appreciated!!!!
Thanx so much!
My billing department is having some problems and is hoping to get some clarification....
A patient comes into our specialty clinic with knee pain. The doctor completes an office visit (E/M) then decides to do an injection or aspiration/injection.
We bill a 9920XXXX for the office visit, appended with modifier 25, and also the CPT range 2060XXXX for the injection, as the pt did not come in specifically to receive an injection, and the doctor has done a complete work up, as well as the injection procedure.
Some insurance companies are denying this, saying that the pt came in for knee pain, for example, and that the injection procedure is not separately identifiable from the E/M...
Any advice or comments would be most appreciated!!!!
Thanx so much!