Coding Conundrum: E/M with a Procedure

Q.We always get denials for the E/M code in addition to a procedure. Are we doing something wrong? A.Denials for payment for an E/M in addition to a procedure may stem from several sources: Missing modifier If you perform a procedure with a 0- or 10-day global period and you perform and document a separate E/M on the same day, always attach modifier -25 to the E/M to reduce denials and costs of rebilling. Use …

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S Codes (S9088 and S9083) in Urgent Care

The urgent care practitioner may not live by coding alone, but proper reimbursement depends on it. To that end, Dr. David Stern, who is in great demand as a speaker and consultant on coding in urgent care, will offer answers to commonly asked questions in every issue of JUCM. In this issue, he delves into the sometimes confusing realm of the S codes. Q.What is an S code? A.S codes are a set of Healthcare …

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