sooloo66
New
Hello -
I am looking for some help with the following scenario:
A patient comes in for their physical, 99395, and also has a probelm-focused office visit, 99213. At the time of these services, immunizations are also given, 90471 and 90732. My question is: Do I need to append a modifier to BOTH the physical and the office visit in order for all lines to be paid. The insurer denied the 99395 stating it bundled into the 90471. Here is how I billed it orginally:
99395
99213-25
90471
90732
Thanks for any input. If someone knows where I can view a "rule", I'd greatly appreciate a link.
I am looking for some help with the following scenario:
A patient comes in for their physical, 99395, and also has a probelm-focused office visit, 99213. At the time of these services, immunizations are also given, 90471 and 90732. My question is: Do I need to append a modifier to BOTH the physical and the office visit in order for all lines to be paid. The insurer denied the 99395 stating it bundled into the 90471. Here is how I billed it orginally:
99395
99213-25
90471
90732
Thanks for any input. If someone knows where I can view a "rule", I'd greatly appreciate a link.
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