Both these codes are for evaluation and management visits. The general rule is that you cannot bill these two E/M codes when the same provider performs the E/M. However, if the patient sees two different providers (from different specialties) on the same DOS, you can report these two codes with appropriate modifier.
99211, 99212, 99213, 99214, or 99215
Add on Codes Can not be billed with Modifier 51(multiple Procedures).
CPT 99213 stands for "Established Patient Office Visit" and is one of the most frequently used medical Evaluation and Management (E/M) codes.
99203 is an initial comprehensive Examination 99213 is a comparative or reevaluation, less comprehensive, in that it re-evaluates the previous positives unless there is new injury.
Per CPT Assistant, October 2006, both CPT codes would be reported as for a new patient. The 99214 is incorrect per this instruction.
what is the modifier to use w/procedure code 93306
BCBSFL will cover certain diagnostic codes billed for pharmacological DNA testing, but will deny codes 81226,81227, & G9143 on the basis of medical necessity.
CPT : "CURRENT PROCEDURAL TERMINOLOGY" THESE ARE 5 DIGITS NUMERIC CODES USED TO DESCRIBE DIAGNOSTIC SERVICES. Example : 99213 (Office Visit Consultation) THE INFORMATION LOCATED IN THE #"24 D" UNDER THE HEAD OF "CPT/HCPC."
That would be the Inpatient Consultation codes 99251 through 99255. However, effective 2010, Medicare stopped reimbursing consult codes 99241-99245 (outpatient consults) and 99251-99255 (Inpatient consults). Medicare must be billed with Initial Hospital Service codes 99221-99223. In addition, the primary physician of record (PPOR) who admits the patient must continue to use those same codes and append the modifier AI to the code. Services on subsequent days would be billed by both PPOR and consultant using Subsequent visit codes 99231-99233.
I wish I could more specifically answer your question but I cant without knowing what you are trying to code. Medical claims are billed with CPT codes which are either ICD9 or HCPCS codes. Depending on the type of claim you are filing it could be either... or both. Sorry I couldn't be more helpful. Evan
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Some codes can be used by anyone but not all code's.Here are some codes freehood,together,bigwhite.EXT.This is the answer