jdibble
True Blue
I have searched for a definitive answer to this question and everything I see has been flip flopping between using the modifier and not using the modifier...
The scenarios are:
1. I have an orthopedist who takes x-rays in his office - he owns the machine and does the interpretation and is billing the global. Would you need to use a 25 modifier on the E/M?
2. I have a cardiologists who does his own EKG's and does the interp. Same thing - bill the E/M with or without the 25 modifier?
Can someone please give me an answer to this and a source if possible. I will be doing an audit for these practices on their use of the 25 modifier and I need to know so that I can educate them on the proper use!!![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Thank you for all responses!
The scenarios are:
1. I have an orthopedist who takes x-rays in his office - he owns the machine and does the interpretation and is billing the global. Would you need to use a 25 modifier on the E/M?
2. I have a cardiologists who does his own EKG's and does the interp. Same thing - bill the E/M with or without the 25 modifier?
Can someone please give me an answer to this and a source if possible. I will be doing an audit for these practices on their use of the 25 modifier and I need to know so that I can educate them on the proper use!!
Thank you for all responses!