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Wiki Clinic Visit/Encounter All-inclusive reported with Modifier 25

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krnmndz

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Hello Coders,

I work in Fraud, Waste and Abuse. My team is trained to look for patterns in FWA to begin investigations. The question I have today is can modifier 25 be reported on T1015 with additional services?
It looks like the clinic visit replaced the E/M under most circumstances I am reviewing. This looks like it is a pattern in the physician world.

Isn't modifier 25 supposed to be reported ONLY on E/M codes?

Please advise.

Thank you for your time!!
 
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