Wiki modifier 25 and preventive codes

[KarlaJ123]

I was always told not to append a modifier 25 on a preventive service, now it seems more and more third party payers are wanting the modifer when age appropriate immunization are given. Is there a steadfast rule on this or is this simply up to the third party payer. I would appreciate any clarification on this.

 

[Krzysztof]

I would recommend polling your payers (or otherwise reviewing their reimbursement policies) to determine the correct use of modifier -25. I've seen a variety of methodologies, and they've varied by carrier. HTH!