Forum - Questions & Answers

Aug 10th, 2016 - GREENPIPER

Same date of service visit by different providers within same group

Provider 1 billing for E&M service with medical DX's

Provider 2 is billing an E&M with BH DX's



Example CLM #1 99213 I10 Z72.0 E11.9 MID-LEVEL GNP

CLM #2 99213 F33.3 F41.0 MID-LEVEL PA

SAME MEDICAL GROUP, DIFFERENT SUPERVISORS, SAME DATE OF SERVICE

IS MODIFIER 25 APPROPRIATE?

Aug 11th, 2016 - rphelps 615  1 

re: SAME DATE OF SERVICE VISIT BY DIFFERENT PROVIDERS WITHIN SAME GROUP

If same specialty you can only bill one.



Home About Contact Terms Privacy

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

Copyright © 2000-2023 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association