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Oncology & Hematology Coding Alert

You Be the Coder:

Modifier 25 With Venous Blood Specimen Collection and Labs

Published on Mon Dec 23, 2019

Question: Should I apply a modifier 25 onto an E/M visit code (992xx) when my oncologist performs a finger/heel/ear stick (36416) and orders labs (or at least 85025)? Kentucky Subscriber Answer: No. The visit code 992xx (Office or other outpatient visit …) does not require a modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified [...]
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