Wiki Should we bill -25, -59, or ???

tvaughn

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:confused: I work for a pain management company and we are billing for multiple codes for one DOS, uncertain as to what modifiers to append to these codes....

99213 E/M level
96103 Psych test
36415 Venipuncture
 
Modifier use

I would read the descriptions of each modifier in the coding manuals. I would also suggest visiting the NCCI edits site for both Medicare and Medicaid to educate yourself on proper modifier use to align with NCCI edits.

Medicare:
https://www.cms.gov/Medicare/Coding...ndex.html?redirect=/nationalcorrectcodinited/

Medicaid:
http://www.medicaid.gov/medicaid-ch...stems/national-correct-coding-initiative.html

A great coders resource is "coding with modifiers: A guide to correct CPT and HCPCS Level II modifier usage" put out by the AMA
 
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