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patricia-billing/coder

Bradley Posted Wed 22nd of April, 2015 10:28:17 AM

question regarding workers comp billing.
Can I bill 99214, 20553,20610 and J1030 with the appropriate modifiers?

SuperCoder Answered Thu 23rd of April, 2015 02:13:00 AM

As per workers compensation provider billing guidelines:
Part B providers must use current HCPC/CPT coding and codes must be properly documented. AMA/CPT guidelines should be used to determine if documentation of a code meets the requirements.
If your documentation suggest that these services were provided on the billed DOS, then you can bill for them. You should add modifier 25 to the E&M code to suggest separate E&M service.

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