tci E/M Coding Alert - 2014 Issue 9
You Be the Coder: Question Coding 99420 Separately From E/M
Question: A patient of one of our providers came in for an annual wellness visit and the physician had the patient fill out a health risk assessment (HRA). There was no abnormality or preexisting problem found during the visit. She wants to bill for the patient discussion about the HRA. How should I code this? Is a modifier needed? Ohio Subscriber Answer: You won’t need a modifier but you need to consult with your payers on whether they allow you to bill the HRA service separate from the E/M. For instance, Blue Cross Blue Shield of North Carolina...
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