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NTIS All Rule

Nancy Posted Fri 26th of February, 2010 21:34:23 PM

Could someone tell me what this is? we billed an 99213-25 with 96372 and J3420 and received this denial on the 99213. Thanks

SuperCoder Answered Tue 02nd of March, 2010 06:30:57 AM

If a patient sees the FP for a given medical condition and receives an injection of a drug he routinely is given for another condition, then you can also code 99213 separately. As long as the injection was not a planned event, then you can bill for the E/M service with modifier 25, otherwise the insurance may deny this claim if these same ICD-9 is applied to all these CPT codes.

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