debwoods65
Networker
We have a scenario in which we saw a patient in the office for follow up on L knee pain. At the visit the decision was made to proceed with a scope of the left knee which was scheduled for the following day.
Then the patient also complained of right knee pain for which she received a steroid inj that same day. W
We billed the E&M w/25 mod and 20610 on the first day and the scope on the day after. The insurance carrier (Aetna) is denying the E&M as global.
Do you think we should bill the E&M visit with a diff mod? I am not certain whether the 24 would be more appropriate, or maybe even the 57 since a decision was made that day to do the surgery; maybe a combination of two of these?
Then the patient also complained of right knee pain for which she received a steroid inj that same day. W
We billed the E&M w/25 mod and 20610 on the first day and the scope on the day after. The insurance carrier (Aetna) is denying the E&M as global.
Do you think we should bill the E&M visit with a diff mod? I am not certain whether the 24 would be more appropriate, or maybe even the 57 since a decision was made that day to do the surgery; maybe a combination of two of these?