I have a question and hope someone can help me. We have a patient that was seen for the request of surgical clearance by the surgeon due to a work related injury. During the exam, the provider noted cellulitis of his leg that was not related to the work injury. The surgery was cancelled due to the leg problem. Treatment was done and now the surgeon is requesting the primary to see the patient again to evaluate the leg and clear him for surgery. Do we bill the comp carrier because it is due to the surgeon requesting clearance again or do we bill the personal insurance because it is to check the leg which is not work related. Anyone??? :confused:
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Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Regular
copay for Regular Visit & Specialty
Can somebody explain to me when we should charge specialty visit copay vs. regular visit copay? For example I work with an oncology specialist, and BCBS has a $ 25 regular visit copay and a specialty visit copay of $ 40. Should we charge $ 40 copay for a 99214? Thank you…