Wiki Office Visit and VNS

[purnern19]

I am looking to see if it is possible to get paid for both an office visit, ex.(99215); and a VNS check (95977) on the same DOS? How would we submit this claim? Right now, we are only getting paid for the VNS check and not the office visit.

 

[s.fowler]

Did you submit your E&M code 99215 with modifier 25 to show that it is separate?
(Modifier 25 is defined as a significant, separately identifiable Evaluation and Management (E/M) service by the same physician or other qualified health care professional on the same day of a procedure or other service.)
If denied, you may have to appeal with documentation supporting that both qualify to be billed.