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99213 same DOS

Tammy Posted Tue 30th of April, 2013 11:38:47 AM

Patient saw the orhto specialist for follow up and billed 99213. On that same DOS patient saw her phycian for cough and URI. Both billed the 99213 different reasons can we bill? (same network, diffrent specialites)
Please help.

SuperCoder Answered Tue 30th of April, 2013 14:44:03 PM

When two preventive or two problem oriented E/Ms are billed on the same date of service. Modifier 25 does not override this edit.Code 99213 is billed twice for the same date of service and modifier 25 is added to one procedure.Only a single visit will be allowed.

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