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Otolaryngology Coding Alert

Diagnosis Coding:

Watch the Diagnosis Assignment When Submitting Modifier 25

Published on Wed Jul 15, 2015

You might need to fight for reimbursement. You can connect the same diagnosis with both the procedure and the E/M service as long as the documentation supports medical necessity for both, according to CMS rules. However, you will find that it is easier to justify both services if you have different diagnoses for the E/M service and the minor procedure.  [...]
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