tci Part B Insider - 2011 Issue 18

Reader Question: 93970 Global May Lead You to Require Modifier

Question: Can you bill a bilateral scan (93970) along with an office visit and get paid for both? Would you need to use modifier 25 on the office visit?Answer: You may report an E/M service and 93970 (Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study) on the same claim. Whether you need to append modifier 25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) may depend on your payer.Explanation: The global period for 93970 is XXX, according to the...

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