Code 99053 with ED E/M code

mchoate3

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We are not sure if we should be using modifier 25 with code 99053. Most of the payer's are not paying it saying that it is bundled in with the e/m code but if we do a review and add the 25 some of them will pay it. I'm not sure if it is Correct Coding Procedure to add the modifier or not.
 
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