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Annette Posted 2 Year(s) ago
Hi, We billed 99213 25 with 20552 59 and Medicare rejected the 20552 for need for this level of service. Any suggestions? Thanks! Annette
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.
Annette Posted 2 Year(s) ago
Medicare's denial says that it isn't necessary for this service level. Doesn't make sense.
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.
Posted by Annette, 2 Year(s). There are 4 posts. The latest reply is from SuperCoder.

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