Forum - Questions & Answers

Jun 3rd, 2011 - BETH1031

99212 With 99396

My office was told that we could bill the est pt visit 99212 with an exam. Just wanted to make sure that we could. Just dosn't seem right.

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Jun 3rd, 2011 - rphelps 615  1 

re: 99212 With 99396

You can if patient presents with another problem and you address it. Be sure to put a 25 modifier on the 99212.

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Jun 3rd, 2011 - jschmutz   323 

re: 99212 With 99396

What do you mean by "exam"?

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Jun 5th, 2011 -

re: 99212 With 99396

The "exam" we presume to mean a "yearly physical exam" or preventative care visit. So if I see a patient for a physical and "by the way" he asks about sexual dysfunction (always as I am walking out the door, hand on door handle) and I ask more questions and order tests and/or prescribe meds then I bill the physical and a 99213-25 and be sure my A/P section has an area to talk about the PE- weight loss, exercise, seat belts, etc and an area to address the sex issue , outlining impression and plans.

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Sep 5th, 2012 -

re: 99212 With 99396

Can I use 99212 for outpatient therapy with client present with family member or wht code would you suggest?

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Sep 5th, 2012 - nmaguire   2,606 

re: 99212 With 99396

If they came in only for therapy?? why code 99212

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Sep 5th, 2012 -

re: 99212 With 99396

Could we only use 99047 in a session with family member present? At this time they are billing as a 90899 and insurance will not pay that. What if the client's teacher was present?

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Sep 5th, 2012 - nmaguire   2,606 

re: 99212 With 99396

I have no idea what "session" you are referring to

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