e&m modifiers

  1. J

    Wiki Modifier 27 help

    Hi all! I'm looking for resource material regarding the use of Mod-27. I code for an ED with affiliated Primary and Specialty Care offices and Walk-In's. At some point, someone in my organization advised we could not use Mod-27 with ED E/M's when a patient has an additional outpatient visit that...
    • JennyMarie19
    • Thread
    • coding cpt e&m modifiers e/m emergency coding emergency department facility coding mod 27 modifier modifier 27
    • Replies: 1
    • Forum: Modifiers
  2. C

    Wiki E&M (with 25 mod), procedure, and RX written

    I have some records where normally the E&M would be denying as included in the procedure (Trigger points, etc), but the Physician is adding the 25 modifier, so it bypasses the Edits. When I'm reviewing the records, they don't meet the criteria for the "25" as there nothing significant is noted...
    • CoderinJax
    • Thread
    • e&m modifiers
    • Replies: 4
    • Forum: E/M
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