Ask an Expert

Answers to Compliance and Medical Coding Questions.
  1. Annette Posted 2 Year(s) agoRelated Topics

    Hi, We billed 99213 25 with 20552 59 and Medicare rejected the 20552 for need for this level of service. Any suggestions? Thanks! Annette

  2. SuperCoder Posted 2 Year(s) ago

    Please send some details of the case for us to assist you with this. Also, please share the reason for Medicare denial. Thank you.

  3. Annette Posted 2 Year(s) ago

    Medicare's denial says that it isn't necessary for this service level. Doesn't make sense.

  4. SuperCoder Posted 2 Year(s) ago

    With the little case information, I can just say that code 99213 is bundled into code 20552, therefore a modifier needs to be appended to the E/M service code.

About this Question

  • Posted by 19806 Annette, 2 Year(s) ago. There are 4 posts. The latest reply is from SuperCoder.