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Ophthalmology and Optometry Coding Alert

Reader Questions:

Know When Modifier 25 Applies

Published on Tue Sep 21, 2021

Question: When a patient with a foreign body or chalazion comes in as a referral from another doctor, how do I get paid for the exam and the procedure at the same time? I have tried using modifier 25, but I get denials saying the exam is included in the procedure. Maryland Subscriber Answer: When an ophthalmologist evaluates a patient [...]
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