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Practice Manager

Beth Posted Tue 10th of June, 2014 14:17:52 PM

How does Medicare want practices to bill for when patients come in for bloodwork, how are we supposed to bill now. Before we could used the 99211 and 36415. But Medicare is denying the 99211.

SuperCoder Answered Wed 11th of June, 2014 07:50:56 AM

Thank you for your question.

First you need to ensure that the visit supports the medical necessity for 99211. If the patient is only coming in for bloodwork, only 36415 would need to be coded. If both are billed, are you putting any modifiers on the 99211 or 36415? You can append with -59.

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