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well & sick visit on the same day

Bonnie Answered Mon 14th of November, 2011 18:12:48 PM

A newborn is brought in for the 4 day check up we billed
cpt 99381 but while doing the newborn check up a problem
is found would we bill cpt 99212-25 or would another cpt
be a better choice.

SuperCoder Answered Tue 15th of November, 2011 07:01:30 AM

If another CPT code exist for the problem what you found, then you might bill that one because problem may be minor or major, which might lead a surgery, else you could bill 99212-25 if it is in differnt session.

Could you please provide more detail about the problem (to justify 99212-25)?

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