Why are my add-on codes defaulting to half the total charge?

If you do not set up a specific breakdown for add-on codes in advance, or you do, but don't assign that payer to your patient/client, then Luminello automatically defaults to breaking down the rates 50/50 for one add-on code (or in thirds for two add-on codes).  For example, if you charge $100 for 99213+90833, then each code will be assigned $50.

The correct procedure before billing for any service with add-on codes so that you get the precise add-on rates is to:

  • First, set up your rates for specific payers in Financial>Billing Codes>Payers. Read this article to see how.
  • Then, choose whichever payer is appropriate for your patient/client. Read this article to see how.

Questions?  Ask us!

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