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64450

Joel Posted Thu 16th of February, 2012 22:40:40 PM

I have submitted a claim to Medicare 99213-25 and 64450
Medicare is denying the 64450 since its included in the 99213
Can it be submitted seperatlty or its included??

Thanks

Joel

SuperCoder Answered Fri 17th of February, 2012 09:02:01 AM

Normallly E/M visits are included in the procedure code unless it is significatly separate identifiable with modifier -25 appended. I believe it should be paid. Kindly re-appeal.

For your reference: http://www.supercoder.com/articles/articles-alerts/pca/you-be-the-coder-ring-removal/

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