cpccoder2008
True Blue
http://www.medicarenhic.com/providers/pubs/Modifiers%20Guide.pdf
Page 24
Billing Tips: -25
No supporting documentation is required with the claim when this modifier is submitted. However, the patient's medical records must contain information to support the use of modifier -25 and be available upon request. The following are the exceptions:
o This modifier should not be submitted with E/M codes that are explicitly for new patients only: 92002, 92004, 99201-99205, 99281-99285, 99321-99323, and 99341-99345. These services are not considered part of the global surgical policy.
Is this statement true ? And do other insurances follow these CMS guidelines ?
Page 24
Billing Tips: -25
No supporting documentation is required with the claim when this modifier is submitted. However, the patient's medical records must contain information to support the use of modifier -25 and be available upon request. The following are the exceptions:
o This modifier should not be submitted with E/M codes that are explicitly for new patients only: 92002, 92004, 99201-99205, 99281-99285, 99321-99323, and 99341-99345. These services are not considered part of the global surgical policy.
Is this statement true ? And do other insurances follow these CMS guidelines ?