• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 25 modifier

Karalea88

Contributor
Messages
23
Location
Lake Charles, LA
Best answers
0
Is it appropriate/necessary to bill modifier 25 with E/M code when CPT 36415 (lab drawn) is done during the visit? Or is the it not necessary?
 
It's not necessary and, my opinion, would not be appropriate. Also, some plans - Aetna, I'm lookin' at you! - bundle the draw code when any other service is performed the same day. They simply won't pay for it.
 
Top