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.
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.
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.
To bill for both 99213 (an office visit) and 76857 (an ultrasound), you would typically use modifier 25 on the E/M code (99213). Modifier 25 indicates that the E/M service was significant and separately identifiable from the procedure performed (the ultrasound) on the same day. Ensure that documentation supports the medical necessity for both services.
CPT Code 94060 : Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration
25
99213 - Office or other outpatient visit for the evaluation and management of an established patient:
Yes, you can bill for both 99213 (an office visit) and 76770 (a targeted ultrasound of the abdomen) on the same day, as long as both services are medically necessary and distinct. It's important to ensure that the documentation supports the necessity of each service. Additionally, check for any payer-specific guidelines or bundling rules that might affect billing in such scenarios.
99213
no
99213
99213