mebjones83
New
I've searched high and low for this answer, but have been unable to get a definitive answer:
Does an office visit code need modifier 25 attached when billed with a drug alone (HCPS code)?
Example:
A patient has an office visit (99214) and receives a Kenalog injection (J3301) for allergic rhinitis. Insurance bundles 96372 (injection), so I don't report that. Do I report 99214 with a 25 modifier along with J3301? Or simply report 99214 and J3301 without a modifier? Thank you.
Does an office visit code need modifier 25 attached when billed with a drug alone (HCPS code)?
Example:
A patient has an office visit (99214) and receives a Kenalog injection (J3301) for allergic rhinitis. Insurance bundles 96372 (injection), so I don't report that. Do I report 99214 with a 25 modifier along with J3301? Or simply report 99214 and J3301 without a modifier? Thank you.