mod 25

  1. P

    Wiki Mod 25 - 2 Providers, same specialty, same DOS

    Oncology practice: A pt is seen for an office visit by a provider and then has treatment therapy (chemo) by a different provider on the same day within the same practice and specialty. Would 25 modifier be added to the EM code for that day since it is two different providers?
  2. P

    Wiki MOD 25 - 2 Providers, Same Specialty, Same DOS

    Oncology practice: A pt is seen for an office visit by a provider and then has treatment therapy (chemo) by a different provider on the same day within the same practice and specialty. Would 25 modifier be added to the EM code for that day since it is two different providers?
  3. L

    Wiki use of Mod 57 and 25

    All on the same day : Patient came in through ED, referred to Colorectal 99221 -57, -AI; had 44320 Colostomy (major surgery 090); and 45300 -51 Proctosigmoidoscopy (minor diagnostic procedure 000). The EM that did not pay, denied as bundled; other two did pay as coded. Mod-57 should cover...
  4. baroquecoder

    Wiki Circumcision and Preventative visit

    Chief complaint: weight check & circumcision HPI formula feeding, gaining weight, appropriate responses.. Full ROS; negative as per HPI Exam; comprehensive Procedure note for the circumcision. Assessment plan; patient gaining weight appropriately continue vitamin d exposure with sunlight post...
    • baroquecoder
    • Thread
    • circumcision mod 25 pediatric preventative unbundling
    • Replies: 1
    • Forum: Pediatrics
  5. baroquecoder

    Wiki RHC E/M w/Vaccine

    Hello! Is an E/M always billed with a vaccination in the RHC? I am being advised that ‘since the doctor has to see the patient in an RHC’ to always bill with E/M, when the sole purpose of the visit is the vaccination... my understanding is that all E/Ms regardless of location must be medically...
  6. baroquecoder

    Wiki 11606 with 99214

    Patient's chief complaint is 'presents for removal of lesion' HPI: lesion present for 3 months and growing ROS EXAM Lesion removed impression; BCC not sent to pathology not confirmed as BCC Since the patient presented for the sole reason of having the lesion removed, and the procedure was...
  7. baroquecoder

    Wiki E/M with Treadmill

    TMT was planned and was stated as chief complaint. Reason for procedure; palpitations. An Exam and ROS are done Impression: palpitations. Does an ROS and Examination done on same day as a planned TMT, qualify as an E/M? 99214-25 + 93016 + 93018. Thanks!
    • baroquecoder
    • Thread
    • e/m mod 25 tmt treadmill
    • Replies: 1
    • Forum: E/M
  8. S

    Wiki Mod 25 on Preventive w a Procedure?

    Crikey I must be having a Friday brain fart...can't find a definitive answer...not trusting myself... Patient seen for 99396 P/E + 69209 done to remove impacted wax found (No other E/M codes). I can add Mod 25 to the P/E because of the procedure, right? I need to do that, right? Agree or...
    • Sundancer
    • Thread
    • mod 25 modifier 25 modifiers p/e and modifiers preventive exams
    • Replies: 1
    • Forum: Modifiers
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