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??
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/