I am interested to find out if anyone is billing for this code and if they are being reimbursed. We have a few carriers that have stated they allow for this code, but sometimes the claims are bundled. When we send for an appeal, we add modifier 25 to the E&M srvice, but I have concerns in an audit that they will state we added the modifier to push the claim thru their edits for payment. Does anyone have any thoughts on this?
Thanks,
Debbie
Thanks,
Debbie