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You should always have the patient sign a waiver (even patients who do not rely on Medicare) to inform them that the cost of these services may be their responsibility. Be prepared to receive denials for those cases where the patient does have a specific underlying condition that requires special testing.
CPT states that the actual performance and/or interpretation of diagnostic tests/studies ordered during a patient encounter are not included in the levels of evaluation and management services. Physician performance of diagnostic tests/studies for which specific CPT codes are available may be reported separately, in addition to the E/M code. Be sure to add modifier -25 (significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to the E/M code in cases where the tests being performed carry 0-10 day global periods. Failing to apply the modifier could result in payment for the tests and not the evaluation and management service provided.