Tracylynn527
Guest
I work with a pain management clinic, and previously my physicians were seeing new patients, and performing a procedure same day (i.e. LESI, CESI, MBB etc). They would append mod 25 to the New Patient CPT code and then bill that along with the procedure code. We have recently been told that this cannot be done, and that modifier 25 cannot be used as it will not get reimbursed. I have learned in the AAPC course, that modifier 25 can be used for significant, separately identifiable services, which they do perform, so I am just very confused. Hoping someone has some answers as to if 25 just cannot be billed with a new patient E/M code, or if this is absolutely never payable??