Forum - Questions & Answers

Jun 24th, 2011 - lockmand 3 

billing 99214 w/ V70.0

Some of our providers are billing an E/M code (99214) with the dx code V70.0, Of coures the claim is being denied, and we the coders are letting the individiual provider know that if its documented as preventive/ visit they need to be billing for a preventive visit... We have an auditor that wants to know why this is not appropriate? Why shouldn't the provider be able to bill a 9921_ with the V70? Is there something in compliance that I can refer him too!

Jun 25th, 2011 -

re: billing 99214 w/ V70.0

an E&M visit is by definition the evaluation and management of a medical problem. V70.0 is a preventative visit. You can't prevent a problem that is already present so you cannot bill a E&M code on a preventive visit.

Jun 27th, 2011 - lockmand 3 

re: billing 99214 w/ V70.0

Thank you.



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