we also use -25 on e/m including preventive codes. If you look under the
imm admin section of CPT, it says " if significant separately identifiable E/M
service (office, preventive med) the appropriate E/M service code should be
used in addition to vaccine" that's not a word for word quote. Anyway, the
ins co I work with have homed in on the "separately significant " part and are
using it to require -25 on E/M, since mod -25 says "significant,separate".
At least, that's what the companies tell me.
Linda,
Reedsburg,WI