Wiki Modifier 25 on 94010 and 94060

[Thouvenel]

My claims are being denied from United Healthcare for 94010 being bundled with my E/M level 99205. They are also being denied when we bill 94060 and 99205. I have checked NCCI edits no bundling shows, I'm wondering if 25 modifier should be used?

 

[Biller385]

Yes, when I was doing UHC I found that if you put the 25 modifier on the E/M's they paid everything. They have their own way of doing things.

Cathy

 

[velsayes]

Should i put modifier 26 for 94060 in order to get paid?