cpccoder2008
True Blue
I found this article on the CMS website, is this correct, new patient do not require -25 when billed with a minor visit ?
-25
No supporting documentation is required with the claim when this modifier is submitted. However, the patient's medical records must contain information to support the use of modifier - 25 and be available upon request. The following are the exceptions:
o This modifier should not be submitted with E/M codes that are explicitly for new patients only: 92002, 92004, 99201-99205, 99281-99285, 99321-99323, and 99341-99345. These services are not considered part of the global surgical policy.
-25
No supporting documentation is required with the claim when this modifier is submitted. However, the patient's medical records must contain information to support the use of modifier - 25 and be available upon request. The following are the exceptions:
o This modifier should not be submitted with E/M codes that are explicitly for new patients only: 92002, 92004, 99201-99205, 99281-99285, 99321-99323, and 99341-99345. These services are not considered part of the global surgical policy.