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.