Wiki E/R Visits

[sandyy2510]

HI,

We have two different denials on the same CPT codes:
E/R visits bundled with 90765-90768,
90765-90768 bundled with the E/R visit

Which one is correct? and where can I get this info in writing.


Sandra Monsalve, CPC
Senior Coding Analyst
T: (646) 447-7507
F: (866) 425-0415

 

[racheleporterwilliams]

these codes are not allowed with Medicare....just the drugs in this instance.

HI,

We have two different denials on the same CPT codes:
E/R visits bundled with 90765-90768,
90765-90768 bundled with the E/R visit

Which one is correct? and where can I get this info in writing.


Sandra Monsalve, CPC
Senior Coding Analyst
T: (646) 447-7507
F: (866) 425-0415

 

[tammyboyer]

would a 25 modifier placed on ER E&M be justified. I code the infusions codes in an urgent care center, i place a 25 modifier on the E&M and Medicare and all carriers pay all codes........I do not know if the rules are different for emergency room......

 

[racheleporterwilliams]

after reading the NCCI in the CMS website I found that the infusion-hydration-push codes are not reimbursed by Medicare....if you have documentation to prove I am wrong pls let me know....I'm still learning and any opportunity to enhance my coding knowledge is surely welcomed....have a gr8 day

would a 25 modifier placed on ER E&M be justified. I code the infusions codes in an urgent care center, i place a 25 modifier on the E&M and Medicare and all carriers pay all codes........I do not know if the rules are different for emergency room......