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Coder-To-Coder Forum

Started by dpage77 at 07-25-2008 10:31 AM. Topic has 1 replies.

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   07-25-2008, 10:31 AM
dpage77 is not online. Last active: 7/26/2008 2:21:55 AM dpage77

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Joined on 07-25-2008
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after hours code 99053
I am interested to find out if anyone is billing for this code and if they are being reimbursed.
We have a few carriers that have stated they allow for this code, but sometimes the claims
 are bundled. When we send for an appeal, we add modifier 25 to the E&M srvice, but I have 
concerns in an audit that they will state we added the modifier to push the claim thru their 
edits for payment. Does anyone have any thoughts on this? 
Thanks,
Debbie

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   08-12-2008, 8:20 AM
Barb S. is not online. Last active: 10/29/2008 1:59:01 AM Barb S.

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Joined on 12-21-2005
Posts 283
Re: after hours code 99053
We used to bill the 99053, no modifiers. However, it was raely reimbursed. Writing the appeals, etc. cost us more than what we were finally able to be reimbursed. We quit billing it.
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UnicorMed Forum... » General » Coder-To-Coder ... » Re: after hours code 99053