tci Part B Insider - 2004 Issue 1

Unlisted-procedure Codes: Use 99499 as a Last Resort Only

Exhaust all other E/M options before reaching for unspecified code When you don't know what other E/M code to bill, it's tempting to reach for the unlisted E/M service code, 99499.  But this code is hard to justify and even harder to receive payment for, coding experts say. "99499 is used when no other code in the E/M section describes the services rendered," says Jaime Darling, a coder with Graybill Medical Group in Escondido, Calif. "The best documentation for using this code is usually in the form of a letter from the physician that describes the...

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