Wiki Mod 25 on E/M with 925** codes?

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KScoderTN

KScoderTN

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Hi fellow coders,
Should we be putting a modifier 25 on E/M codes 992** when billed with 925** codes. They have no global days but it was suggested to me that we should have a modifier 25.

The audiologist performs the testing and the physician reports the results to the patient and documents for E/M billing.

The audiologist is contracted through the physician's office and does not do their own billing.

Thank you,
 
Hi Teresa, we have never appended -25 to the E/M code when the results are given the same day as any audio testing. none of our payors here in Florida require it but you may want to check with yours.
 
Hello,
I have NEVER added a -25 to the E/M with the audio testing. However, I did get a rejection on the E/M from BCN today, saying the E/M was inclusive. A call was put in, but no answers yet.

Good Luck!
 
Thank you Amanda.

Candice & Amanda,

What about 92504, do you append a modifier 25 to the E/M? NCCI edits do not show a conflict, but some coding articles I have viewed suggested we use the modifier due to the "separate procedure" status of the CPT.

Thank you,
Teresa
 
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