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Wiki Billing query

Thread starter michelledeaton@yahoo.com
Start date Feb 20, 2014

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michelledeaton@yahoo.com

Guest

Feb 20, 2014

I have several occassions where, on a same encounter, I am billing the insurance for billable procedures and also billing ONLY the patient for cosmetic procedures. When this happens and I am ONLY billing the insurance an E/M code.... would I apply a -25 modifier?

I realize the insurance is ONLY seeing what I am billing them but I cant determine if they would need to know the doc did something additional that they are not being billed for.

Any help is greatly appreciated.

Thank you!!!

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