tci E/M Coding Alert - 2014 Issue 6

Reader Question: Use 99499 When a Service Doesn't Reflect a Code Description

Question: Can I use modifier 52 on 99201 if my provider only captures history and MDM for an office visit? Oregon Subscriber Answer: In the rare circumstance when your physician (or NPP) provides a service that does not reflect a CPT® code description, you must report the service as an unlisted service with 99499 (Unlisted evaluation and management service). A description of the service provided in the form of the provider’s notes must accompany the claim. The payer has the discretion to value the service when it does not meet the full terms of a CPT® code description...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 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 E/M Coding 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.