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Yes, an E/M code like 99213 can be billed alongside a postpartum code like 59430, but certain conditions must be met. The E/M service must be a distinct and separate encounter that addresses a different issue than the routine postpartum care covered by 59430. Proper documentation must support the medical necessity of both services being provided during the same visit. It's advisable to check with specific payer guidelines, as policies may vary.

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1mo ago

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99213 - Office or other outpatient visit for the evaluation and management of an established patient:


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The 25 modifier is typically added to the evaluation and management (E/M) service code that is billed separately when a procedure or service is performed on the same day. In this case, if both 99283 (Emergency department visit, low to moderate severity) and 99213 (Office or other outpatient visit, established patient) are billed, the 25 modifier is generally added to the code that represents the more comprehensive service. If both codes are necessary, ensure that the documentation supports the medical necessity for each service.


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What does 99213 CPT Code stand for?

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