tci Part B Insider - 2015 Issue 12

Reader Questions: Edits May Go Beyond CCI

Question: We are billing an evaluation and management (E/M) code 99212 along with a pulse oximetry and these codes are being refused as bundled. There is no CCI edit for these codes. We provided the services in the office. We have tried to put a modifier 25 on the E/M and a modifier 59 on the 94760 but no success. How do I solve this problem? Supercoder.com subscriber Answer: According to your information, you’re trying to report codes 94760 (Noninvasive ear or pulse oximetry…) along with office E/M code 99212 (Office or other outpatient visit for...

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