tci ED Coding & Reimbursement Alert - 2013 Issue 9

Reader Question: With The CCI, You Must Modify

Question: When CPT® code 99284 is billed with CPT® code 11643 for the same date of service is there separate reimbursement? Florida Subscriber Answer: You should be paid for both the 99284 and the 11643 (Excision malignant lesion…excised diameter 2.1 to 3.0 cm) if chart documentation supports both services. There is no CCI edit bundling those two services. You should use the 25 modifier on the E/M service to show it was separately identifiable. Code 11643 would not be typically reported in the ED setting. ...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.