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EM Coding Alert

Reader Question:

Take This Advice, Modify Double Dx Decisions

Published on Thu Feb 20, 2020

Question: We know that most insurers say separate diagnoses are not required to use modifier 25, but it seems like we never get paid unless we use separate diagnoses for the procedure and the E/M code. Why is that? Florida Subscriber Answer: You are correct in noting that insurers don’t typically require separate diagnoses, but there’s a chance that you [...]
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