Having an in office debate on this and wanted to see if anyone had answers.
I was under the impression that you can set your code sets to include modifiers even if the modifier isn't needed (example...you perform a 99203 but NOT 98941 but the 99203 still bills with 25 modifier). Our business manager thinks you're not suppose to have the modifier if you don't need it for that claim.
Can anyone shed some light on this?
Thanks in advance!
I was under the impression that you can set your code sets to include modifiers even if the modifier isn't needed (example...you perform a 99203 but NOT 98941 but the 99203 still bills with 25 modifier). Our business manager thinks you're not suppose to have the modifier if you don't need it for that claim.
Can anyone shed some light on this?
Thanks in advance!