Billing question - v04.81 as primary dx and pos 23 with 99213

Medical Billing question and answer


can a insurance company deny a medical claim due to missing cpt modifier
Ans :Yes they can.

Solution: We need to file appropriate modifier to get paid.

 

can you use a v04.81 as a primary dx for 99213
Ans : No.

Note : It should be used for vaccination and inoculation.
 


can the hospital bill 99213 pos 23
Ans : No.


Note : Place of service 23 could bill only in Emergency room – Hospital.

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