iovine
Contributor
Can anyone shed some light on this , certain ins co wants a 25 mod on CPT 99292. What are your thoughts
Thanks
L
Thanks
L
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki mod 25 - Can anyone shed some light on this
- Thread starter iovine
- Start date
jgf-CPC
Guest
99292 is an add-on code so you are correctly using it in conjunction with the 99291? If you are doing another procedure tht is separate and identifiable with the E&M then the 25 would be put on the 99291 but not the 99292. Your CPT clearly explains the use of these codes and modifiers. Hope that helped.
iovine
Contributor
mod 25
The ins co will not pay this service without the 25 mod on the cpt 99292. We do know the the mod 25 is separately identifiable. The ins co will not pay for the additional time if the 25 is not on the cpt code
The ins co will not pay this service without the 25 mod on the cpt 99292. We do know the the mod 25 is separately identifiable. The ins co will not pay for the additional time if the 25 is not on the cpt code
iovine
Contributor
mod 25
The ins co will not pay this service without the 25 mod on the cpt 99292. We do know the the mod 25 is separately identifiable. The ins co will not pay for the additional time if the 25 is not on the cpt code
The ins co will not pay this service without the 25 mod on the cpt 99292. We do know the the mod 25 is separately identifiable. The ins co will not pay for the additional time if the 25 is not on the cpt code
If this is what the insurance company requires than I would do it. They may have a claim edit software that does not recognize 99292 as payable without 25. I do not see anything bad in this. Different ins companies may have different rules.