Billing Archives - Chiropractic Coding and Billing

Date:April 28, 2017Posted By:ccadminCategory:ArticleTag:Billing, Chiropractic, Coding, CPT Coding, Documentation, E+M Documentation and Coding, Procedure Coding

Can I be Forbidden from Billing 99204 or 99214?

Q: An insurer told me that chiropractors cannot bill 99204 or 99214 because those exams “require a level of decision making that would typically only occur in an emergency room.” Is this true? Do I have any recourse?

Date:December 21, 2016Posted By:ccadminCategory:ArticleTag:Billing, Coding, CPT Coding, Denial Management, E+M Documentation and Coding, Modifier Coding

Q/A: E/M Bundled with CMT

What do you do when you are continually getting denials when billing office visit E/M code 99213-25 along with a CMT on dates that we do re-exams? What do you do when an appeal does not seem to work even though clear evidence has been provided that all conditions for the 99213 have been satisfied.?