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AFH initial facility visit

Yevgeny Posted Mon 07th of November, 2011 22:08:48 PM

we're getting denied codes 99326,99325,99335 and 99336 by Medicare.
We're billing example
99326 with modifier 25 following by
11721 with 110.1 or 703.8, 729.5.
Medicare is saying that is the wrong code for this type of procedure.
What are we doing wrong?? Please help

SuperCoder Answered Tue 08th of November, 2011 08:05:28 AM

Here you will need to take care about POS (place of service). What is the POS you billed for ? The CPT code range (99324-99340) is for domiciliary/custodial care services (like assisted living, prison etc).

SuperCoder Answered Tue 08th of November, 2011 08:16:14 AM

To get paid the POS should be 13, 14 or 33.

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