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Doc did an initial exam on Sunday at the patients home as
the patient was confined to home (2nd floor, no elevator) with an
uncasted fractured leg and other injuries due to a fall. The doc spent 2 hours with
the patient, and also had travel time of 1 hour.
99050 would cover a Sunday visit, but as I read it this code
is for in office, not at the patients home. Is there a better code for a Sunday
home visit?
99343 would cover the initial exam/eval, but does that allow
for the travel time of 1 hour? Or is there another code for the doctor’s travel
time?
Also can excessive time be billed with the above, and what
code?
Also can someone give the appropriate modifiers? I’m
thinking a -25 for each code after the 99343 if modifiers are necessary.
Then the patient was referred to our chiro doc (separate NPI
and UPIN) who did initial exam (I assume same initial E/M codes as above,
except for the Sunday visit) and 2 follow up home visits performing CMT and PT
modalities. The same 1 hr travel time applied, and it was after normal hours, but
how to account for this since the follow up visits were not E/M evals? So I am
stumped as far as how to code for the non-E/M home visit & travel time.
Any help would be appreciated.
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