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Pulmonology Coding Alert

Recovery Audit Contractors:

Billing E/M Codes With Procedures? This RAC Is Watching

Published on Mon Mar 12, 2018

Never report modifiers 24, 25, and 57 interchangeably. You may think that modifier 25 is your ticket to collecting for both an E/M visit and a procedure, but that doesn't mean it's always appropriate. One approved recovery audit contractor (RAC) issue identifies E/M codes billed with procedures that have 0-, 10- and 90-day global periods as audit areas, which means [...]
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