We make it easy to find the online medical coding solution with just the features you need! |Learn More >>

Regular Price: $24.95

Ask an Expert Starting at $24.95

Have a medical coding question? Get definitive answers from TCI SuperCoder's Ask an Expert.

Browse Past Questions By Specialty

+View all
Tiffany Posted Tue 11th of July, 2017 08:25:21 AM
One of our providers (we are a multi-physician cardiology practice) who is an interventional cardiologist is receiving denials from Medicare for CPT 99220 denial code CO-B20 'procedure/service was partially furnished or fully furnished by another provider. The hospital has billed for an initial consult of either an internist or the ED physician. This should not be reason for a denial for my physician? I know that when the physicians are from the same tax id/speciality it will merit the denial. Any insight as to why this is happening or do I need to discuss with the hospital which provider giving initial care should have the rights?
SuperCoder Answered Wed 12th of July, 2017 07:10:45 AM

Our team is working on the query, will get back to you soon.

SuperCoder Answered Wed 12th of July, 2017 07:10:52 AM
Our team is working on the query, will get back to you soon.
SuperCoder Answered Wed 12th of July, 2017 07:14:06 AM


Denial code CO-B20 is for payment adjusted because procedure/service was partially or fully furnished by another provider. You definitely needs to discuss with the hospital to determine what codes were billed by the other physician. That should be your starting point since you have this type of denial.  If the hospital billed for an initial inpatient, then the hospital is probably assuming that this physician is the admitting physician and all of their services would be rolled into 99221-99223. This also may indicate that the patient started out as observation and became an inpatient on the same date, so you will need to find that out too. I believe the primary physician rights would come into play when the patient is seen, for example, in the ED and then moved to same day observation/discharge services.

SuperCoder Answered Wed 12th of July, 2017 07:14:06 AM
Our team is working on the query, will get back to you soon.

Related Topics