Annette Posted Tue 26th of November, 2019 12:23:28 PM
What are the correct modifiers to use when billing an office visit and a NCV Test? 99212, 95913-59, 95886?
Annette Posted Tue 26th of November, 2019 12:29:58 PM
Sorry! I forgot to include the injection too. So it would also include 20552 and 76942. Thanks!
SuperCoder Answered Thu 28th of November, 2019 02:59:04 AM
As per coding guidelines, if the intent of the visit was injection procedure and NCV test and it was pre-decided that these procedures would be performed, E&M code would not be billed in this case.
If during the E&M visit, it was decided that NCV test, EMG and injection procedures would be performed, E&M code would be billed in this case.
E&M code should be billed if the patient is being seen for a condition which is New and unrelated to the current condition, for which patient is undergoing treatment.
Please append modifier 25 with the E&M code. You need not append any modifier with rest of the CPT codes as there are no bundling issues between these codes as per NCCI edits.
Hope provided information would be helpful.