It seems absolutely silly that the bundled payment only covers the minimally priced 94640 instead of including the 94640 in the 99214. Even so, what sort of documentation should be present to support the unbundling of the exam? Are they saying that the office visit has to be for more than the reason the patient needed the treatment? I do not want to get flagged for over using the 25 modifier on this but everything i have read so far says to do it. Is there an expert who can tell me exactly how to bill for the exam and the treatment without raising flags? Or should we just cut our losses and only file the exam?
Please help!! I know this has been covered in the forum previously but i am only pulling up old stuff and want to make sure i have the most current information on this. Thanks in advance!
Please help!! I know this has been covered in the forum previously but i am only pulling up old stuff and want to make sure i have the most current information on this. Thanks in advance!