pamart@centurylink.net
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I have researched and contacted the payer but to no avail. We are getting denials on E&M codes any when billed with any minor procedure (not planned) saying it is incidental to primary procedure. Modifier -25 is appended the office visit, separate, significant DX codes. Payer states “you can appeal” but I want to know why in the last 60 days this denial is popping up? They cannot give me an answer. Any ideas? Am I missing something? NCCI edits checker shows adding -25 to E&M to override