Writing Off Patient Responsibility, Modifier-51, and More on New vs. Established E/M Codes

DAVID STERN, MD (Practice Velocity) Q. I listened to your UCA coding webinar, and it raised a question. You mentioned that if we bill insurance for a 99051 and the payor denies payment as โ€œpatient responsibility,โ€ then we should bill the patient and not write it off. Does that hold true to the S9088, as well? I often see this code either denied or applied to the patientโ€™s coinsurance/deductible. Question submitted by Megan Fontenot, Integrity …

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