Forum - Questions & Answers

Dec 7th, 2011 - lockmand 3 

global/modifier

on 7/20/11 the provider billed 99214 and CPT® 10060 with dx codes -(1) 682.1 Cellulitis and abscess of neck [Qual: Active] (2). 682.9 - Cellulitis and abscess of unspecified site. The claim processed and paid accordingly. Two days later the provider billed 99214 and 11000 (debridement) with dx code 682.9 and this does appear to be a f/u visit on 7/20. I know the office visit will not be covered, due to it is part of the global, but shouldn't the provider be covered for the debridement code 11000? if so, should we be appending a modifier, and what is the correct modiifer?

Dec 7th, 2011 - rphelps 615  1 

re: global/modifier

I would use 79.

Dec 8th, 2011 - lockmand 3 

re: global/modifier

Thank you.

Dec 9th, 2011 - billings123 74 

re: global/modifier

With same scenario, how would I bill when the doctor repeats the I&D two days later and what code can I use for wound care?



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association