Zakari Posted Wed 07th of December, 2011 15:26:35 PM
pt was in for an office visit and incision and drainage.. was done. Claim was accepted. A week later pt came in for follow up. I used 99213 code and got denied, because it was within 10 days of minor surgery. What code should I use for this visit? Payor is Humana.
SuperCoder Answered Wed 07th of December, 2011 22:52:49 PM
If the second Visit is related to I&D within 10 days, then the second Office Visit will be denied for being in global duration.
But, if the second office visit is Not related to the I&D performed in last 10 days, then we can bill the second office visit with modifier 24 for reimbursement.