Wiki New to ENT coding please help !

[braja002@yahoo.com]

Provider billed for DOS 11-28-12
99214-25
31575-79

and insurance denied saying 99214 is witin global period of 90days of procedure code 31588 done on 10-2-12.

I am thinking it should be billed as
99214-24
31575-79

is this correct?

 

[Candice_Fenildo]

Well, that would really all depend on the Diagnosis that you are coding for the E/M? is it a distinct seperate reason? does it have anything to do with the laryngoplasty surgery? If not then the 99214-24 would be the appropriate modifier to use.

 

[braja002@yahoo.com]

Thank you