alb7585
New
This is a multi-leveled question and if anyone has any documentation to support me either way that would be great.
We are getting alot of denials for an E/M with an injection. As far as I am aware if we bill a -25 modifier on our E/M the E/M and is payable. This is for first time injections or drugs such as depo-medrol. Correct?
However, where does this stand for susequent injections (IE Euflexxa, Hylgan)? We have been billing a level 2 as its straight forward decision making, problem focused exam and history and full set of vitals are taken. Is that correct?
Thanks!
We are getting alot of denials for an E/M with an injection. As far as I am aware if we bill a -25 modifier on our E/M the E/M and is payable. This is for first time injections or drugs such as depo-medrol. Correct?
However, where does this stand for susequent injections (IE Euflexxa, Hylgan)? We have been billing a level 2 as its straight forward decision making, problem focused exam and history and full set of vitals are taken. Is that correct?
Thanks!