jmad456
Guest
Is it ever appropriate for a provider to bill 2 different claims for the same patient, same DOS with the same E&M when the only difference is a modifier 25? For example 99213 on one and 9921325 on the other both have same DX.
The mod 25 guidelines aren't clear on this to me but I would think that a higher level E&M code would be used instead of 2.
I see this a lot where I work and most of the times one is a corrected claim but if they aren't marked corrected both will automatically pay.
The mod 25 guidelines aren't clear on this to me but I would think that a higher level E&M code would be used instead of 2.
I see this a lot where I work and most of the times one is a corrected claim but if they aren't marked corrected both will automatically pay.