Wiki Please help!!!!! Consultation with mod 25

[paolinafe]

Case:
gastroenterologist received a written consult from attending in a hospital setting. Gastro evaluates patient documents history, medical exam and medical decision . After evaluating and as part of the recommendations orders an endoscopy or colonoscopy the same day. Same gastro does the study on the same day. Is the consult billable with mod 25?

 

[rebeccaann77]

Yes. An E/M service is billable with a mod -25 on the same day as a procedure because it was a separate encounter.

 

[Franni]

25

I would add the 25 to E/M so you will get paid for both