Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

CPT code

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.
Thank you.

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.

Related Topics