Wiki NP billing

[smeadows177@comcast.net]

I have recently been given the responsibility of billing for our new NP. She sees patients in a SNF. She wants me to bill for visits in following ex: pt seen on 7/2 for regular care bill 99308 then saw again on 7/4 for removal of impacted cerumen bill 69210 -50 for bilateral plus another 99308 with-25 mod, then saw again on 7/6 for follow-up care. I am aware that just she documents medical necessity she can see the patient for all three visits. My thoughts are bill first visit 99308, second visit 69210-50, and the third would be included as part of global period of the second visit? Would this be correct? Any advice appreciated.

 

[lmartien]

Hello,

According to what I've read about this, there is a -0- day global period for 69210 so your third date of service would be billable with medical necessity. I agree with your first date of service coding but if the NP returned two days later specifically to remove the impacted cerumen then the E/M service would not appropriate as there is no separate and significant E/M service (unless documented). I also read that that Medicare is not recognizing the -50 modifier. It's recommended you bill 69210 with only one unit. I found a great tutorial for this, you might find it helpful -http://www.karenzupko.com/mm5/merchant.mvc?Screen=PROD&Store_Code=KOS&Product_Code=webinar_cerumencodingchaos&Attributes=Yes&Quantity=1

Good luck!

 

[smeadows177@comcast.net]

Thank you I will check that out. I have been reading conflicting information regarding the use of the modifier.