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Yes, you can bill a 99213 with a modifier 25 and a 11721 when both services provided are distinct and necessary. The 99213 is an established patient office visit, while the 11721 involves the removal of a skin lesion. Ensure that documentation supports the medical necessity for both services on the same day to avoid potential denials. Always check with specific payer guidelines, as they may have unique requirements for billing these codes together.

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1mo ago

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Related Questions

Can you bill 99213 with 97003?

Yes. Use modifiers 25 & AT along with 98940


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25


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Yes. ICD 99213 = New patient established, low complexity visit. Think of it as a "general visit" code.


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As the World Turns - 1956 1-11721 was released on: USA: 27 March 2002


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Days of Our Lives - 1965 1-11721 was released on: USA: 22 November 2011


What is the remainder when 11109876 is divided by 12345?

899.9495


What is 99213 as a medical billing code?

99213 - Office or other outpatient visit for the evaluation and management of an established patient:


What modifer do you use with cpt 99213?

When using CPT code 99213, the most common modifier is -25, which indicates that a significant, separately identifiable evaluation and management service was provided on the same day as another procedure or service. This modifier is essential when billing for a visit that includes both a problem-focused exam and additional services, ensuring that the E/M services are appropriately reimbursed. Other modifiers may be used depending on specific circumstances, but -25 is the primary one associated with 99213.


What does procedure code 99213 25 stand for?

99213 = Office or other outpatient visit for the evaluation and management of an established patient of low to moderate severity; physician spends typically 15 minutes face-to-face with the patient and/or family. 25 (modifier) = Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.


What is the code for a dot physical?

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What is the CPT code for a DOT physical?

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