In other words, some hospital billing departmentswill Lumpall dollar amounts together on the primary CPT code/charge and apply $1.00 for each secondary procedure (see example below). REV CodeCPT CodeService DateServ. UnitsTotal ChargesNon-Covered Charges 360234102/20/08 1 $6,464.00 $0.00 ...
Note that if you chose the wrong code, you are paid for the lesser code. Unfortunately, many are not familiar with NCCI rules. Therefore, some may think that if 2 or more procedures that have CPT codes are performed, and the codes are bundled, then the 59 modifier may be applied, ...
Google Share on Facebook modifier -25 A code added to CPT coded bills (in the USA) for professional healthcare services that is used to identify a significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service. ...
Using the data collected in the previous three steps, the correct E/M CPT code can be determined. In Step 1, the patient location and type were identified. These two characteristics gave us the first four digits of the correct code. In Step 2, the level of medical decision making involved...
Example 2 (Not using modifier 25): When a patient is scheduled to come into your office for a cardiovascular stress test, and the physician also completes a history and performs a limited examination (specifically related to the stress test), your office should only code for the cardiovascular...
Using the data collected in the previous three steps, the correct E/M CPT code can be determined. In Step 1, the patient location and type were identified. These two characteristics gave us the first four digits of the correct code. In Step 2, the level of medical decision making ...