Coding Challenge / Hot Coding Topics / modifier 25

Is 99211 + 95115 OK?

Question: If a nurse has to check vitals to make sure an allergy injection is the correct quantity or if she has to educate the patient about the administration or side effects of the injections, we’ve been billing 99211 with 95115 or 95117. There is...

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December 6, 2010
Coding Challenge / E/M

EM Coding: Should I Select 99211 for Most Med Checks?

Insurers might want to see a clear explanation as to why the E/M was necessary.

Question: An established patient with a plan of care in place for her gastroesophageal reflux disease (GERD) reports to the gastroenterologist; two weeks ago, the…

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March 6, 2010