Yes. Use modifiers 25 & AT along with 98940
Yes. ICD 99213 = New patient established, low complexity visit. Think of it as a "general visit" code.
Occupational therapy evaluation
Yes, you can bill a 99213 with a modifier 25 and a 11721 when both services provided are distinct and necessary. The 99213 is an established patient office visit, while the 11721 involves the removal of a skin lesion. Ensure that documentation supports the medical necessity for both services on the same day to avoid potential denials. Always check with specific payer guidelines, as they may have unique requirements for billing these codes together.
Occupational therapy evaluation
To bill 99213 (an established patient office visit) and 94060 (a peak flow measurement), ensure that you meet the documentation requirements for both codes. Typically, you would bill them together by listing 99213 first, as it represents the primary service, followed by 94060 for the additional procedure. It's important to check for any payer-specific guidelines regarding bundling or modifiers that may apply to ensure proper reimbursement. Always document the medical necessity for both services in the patient's record.
99213 - Office or other outpatient visit for the evaluation and management of an established patient:
99213
no
99213
99213
99213
68.85