kylee14
Contributor
I have been billing different specialties for over 15 years, but am completely new to surgery and wound care billing. I am currently helping out a general surgeon and need some assistance.
Is this the correct way to bill the following claim?
DOS 8/8/17 - 99223
DOS 8/8/17 - 12002
DOS 8/9/17-8/12/17 -99232 x4
DOS 8/13/17 - 99239
I am using Athenahealth which has many of these edits built into the system and the message I am getting states that I need a modifier on the 99223. This is a minor procedure so I cannot use a 57. Would it be a 25?
I bill a lot of inpatient surgeries where the patient is seen prior and post to the surgery date. Do these codes require modifiers? I know there are global periods for certain procedures and I have created a list of the 0/10/90 days surgeries, but I am just trying to make sure that I am billing them properly. I just need some guidance on how to bill the initial and subsequent visits along with the procedures that have zero global days. It seems like they are constant getting caught in the Athena edits.
Also, is it appropriate to add a 59 modifier on a 76937 billed with a 36556 and 43840?
Any information appreciated in these areas. Thx!
Is this the correct way to bill the following claim?
DOS 8/8/17 - 99223
DOS 8/8/17 - 12002
DOS 8/9/17-8/12/17 -99232 x4
DOS 8/13/17 - 99239
I am using Athenahealth which has many of these edits built into the system and the message I am getting states that I need a modifier on the 99223. This is a minor procedure so I cannot use a 57. Would it be a 25?
I bill a lot of inpatient surgeries where the patient is seen prior and post to the surgery date. Do these codes require modifiers? I know there are global periods for certain procedures and I have created a list of the 0/10/90 days surgeries, but I am just trying to make sure that I am billing them properly. I just need some guidance on how to bill the initial and subsequent visits along with the procedures that have zero global days. It seems like they are constant getting caught in the Athena edits.
Also, is it appropriate to add a 59 modifier on a 76937 billed with a 36556 and 43840?
Any information appreciated in these areas. Thx!