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Marguerite Posted 1 Year(s) ago
Will Medicare pay for a nurse visit, 99211-25 and 93000 on the same day?
SuperCoder Posted 1 Year(s) ago

Hi  Marguerite,

Medicare can bill 99211 and 93000 on the same day. However, You need modifier 25 to indicate a signficant, separate E/M from the EKG. As per NCCI edit 99211 bundles to 93000, so some systems have an auto edit that kicks out a procedure with an E/M unless 25 is used. You can bill for unrelated ECGs and procedures by indicating the EKG is unrelated to the procedure with 59 on the EKG.

For further details please see the link provided below.

http://www.medicalbillingcptmodifiers.com/2011/05/cpt-code-99211-documentation.html

Thank you.

Marguerite Posted 1 Year(s) ago
Can there only be 1 ICD-10 for both the 99211-25 and 93000, for example chest pain?
SuperCoder Posted 1 Year(s) ago

No, there should be two distict diagnosis. Or provider must explain chest pain due  to gastric, muscular and or cardiac. The cause should be different.

Posted by Marguerite, 1 Year(s). There are 4 posts. The latest reply is from SuperCoder.

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