All on the same day : Patient came in through ED, referred to Colorectal 99221 -57, -AI; had 44320 Colostomy (major surgery 090); and 45300 -51 Proctosigmoidoscopy (minor diagnostic procedure 000).
The EM that did not pay, denied as bundled; other two did pay as coded.
Mod-57 should cover the EM 99221 and the 44320, Mod -51 covers the 45300. Can I or should I, in addition, add Mod -25 to stress the EM was necessary? I thought the -57 was sufficient to indicate the justification for EM necessity therefor the need for surgery?
Can't understand how it was denied bundled. Any help is appreciated !
The EM that did not pay, denied as bundled; other two did pay as coded.
Mod-57 should cover the EM 99221 and the 44320, Mod -51 covers the 45300. Can I or should I, in addition, add Mod -25 to stress the EM was necessary? I thought the -57 was sufficient to indicate the justification for EM necessity therefor the need for surgery?
Can't understand how it was denied bundled. Any help is appreciated !