Good Morning
I am looking for information and clarification on whether an E/M code needs to be billed with modifier 25 when billing with a procedure code with an XXX global period-specifically 93970 and 93971. Per Medicare's National Correct Coding Initiative Policy Manual it does state that with most xxx procedures, the physician may perform an E&M service on the same date of service which may be reported by appending modifier 25 to the E&M code. I have many people telling me differently, that no modifier 25 is needed on the E&M code (although I am trying to find that in writing). Also, when putting these codes through the NCCI edits, it states that no modifier is needed with the E&M code when billing with 93970 or 93971. Does anyone have any information on this? I appreciate your help! Thank you
I am looking for information and clarification on whether an E/M code needs to be billed with modifier 25 when billing with a procedure code with an XXX global period-specifically 93970 and 93971. Per Medicare's National Correct Coding Initiative Policy Manual it does state that with most xxx procedures, the physician may perform an E&M service on the same date of service which may be reported by appending modifier 25 to the E&M code. I have many people telling me differently, that no modifier 25 is needed on the E&M code (although I am trying to find that in writing). Also, when putting these codes through the NCCI edits, it states that no modifier is needed with the E&M code when billing with 93970 or 93971. Does anyone have any information on this? I appreciate your help! Thank you