Wiki 25 MODIFIER

bharathiT

Guru
Messages
108
Location
Salem, Tamil Nadu
Best answers
0
Documentation supports for
99214
36415
with lab

What is the modifier sequences for this case?
 
I would not use a modifier of any kind as there is no relationship between 99214 and 36415 per the CCI edits and I've never needed a 25 modifier on an E/M when a venipuncture was done the same day. Of course, it doesn't mean the 36415 will be paid since the payer may have a policy to always bundle 36415 with an E/M but that's a reimbursement problem, not a coding problem :)
 
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