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92014 & 67028

Tammy Posted Tue 18th of November, 2014 15:34:19 PM

AARP denied the 92014 with the modifier 25 when billing with the injection code 67028. I know there are new guidelines with injections and the Eye/E&M codes, but I can't seem to find them. Can someone help me with this? Thank you!

SuperCoder Answered Thu 20th of November, 2014 02:22:32 AM

If the patient is only examined to determine the need for an injection in the eye scheduled for treatment, then a visit should not be billed. In order to bill 92014 with 67028, you have to make sure that your documentation supports that ophthalmological examination and evaluation was significantly, separately identifiable service from the injection procedure performed on the same day.

Thanks !!

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