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Re: Billing question From: Larry Glazerman (l.glazerman@rcn.com) Tue May 6 16:44:35 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Billing question" Previous message: Ronald Ainsworth: "Re: Billing question" In reply to: Ronald Ainsworth: "Re: Billing question" Next in thread: Ronald Anisworth: "Re: Billing question" Reply: Ronald Anisworth: "Re: Billing question" Ron: I don't think that's quite true - you can have two separately identifiable services related to the SAME ICD9 code. For example, if a patient comes in for abnormal bleeding, you get a history, examine her, go through decision making, there's an appropriate E&M code. If you decide to do an endo biopsy at that visit, it can be billed too, using the same ICD9 code, with a -25 modifier. I think the modifier actually goes on the E&M code rather than the procedure, but I could be wrong. -- Larry R. Glazerman MD St. Luke's Center for Advanced Gynecologic Care 250 Cetronia Road Suite 305 Allentown PA 18104 glazerl@slhn.org On May 6, 2008, at 5:29 PM, Ronald Ainsworth wrote: > Only if you have separately identifiable services - > i.e. ICD9 codes. Then you need to use a 25 modifier, > as others have noted. > > --- Lynn Montgomery <apgar10@thebirthcentermt.com> > wrote: > >> Listers, >> >> I would like opinions regarding a billing question; >> when a patient >> presents for an office visit for an IUD insertion or >> colposcopy for >> example, is one allowed to bill an office visit in >> addition to the >> actual procedure being performed (i.e. 99203 for >> office visit and 58300 >> for IUD insertion). I have gotten different answers >> from various >> coders, including ACOG! >> >> Lynn >> >> Lynn D. Montgomery, M.D. >> >> Obstetrics & Gynecology, Maternal-Fetal Medicine >> >> The Birth Center/Rocky Mountain Women's Health >> >> 1211 S. Reserve St. >> >> Missoula, Montana, 59801 >> >> 406-549-0978 >> >> fax 406-549-0987 >> >> e-mail: apgar10@thebirthcentermt.com >> > Next message: Henry Gregor: "Re: Billing question" Previous message: Ronald Ainsworth: "Re: Billing question" In reply to: Ronald Ainsworth: "Re: Billing question" Next in thread: Ronald Anisworth: "Re: Billing question" Reply: Ronald Anisworth: "Re: Billing question"

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