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Wiki critical care

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sam_son

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hai
could any one clarify me, while we using 99291 & 99292 , if any separately identifying procedure is done we are using modifier 25 with 99291 , do we need to use/link modifier 25 again with 99292.
Regards
Samson
 
Some services are reported as add-on codes (99292), which describe work done in addition to primary procedures. Add-on codes are not stand-alone codes, and must always be reported with primary procedures. When correct coding indicates the use of a modifier is appropriate for the primary code, that modifier must be appended to both the primary code and add-on code.
 
pls don't use -25 w/99292
-25 is added to 99291 & pls see crit care guidelines for which procedures are already bundled into the crit care E/M codes

renifejn said:
Some services are reported as add-on codes (99292), which describe work done in addition to primary procedures. Add-on codes are not stand-alone codes, and must always be reported with primary procedures. When correct coding indicates the use of a modifier is appropriate for the primary code, that modifier must be appended to both the primary code and add-on code.
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We use -25 on 99292

It may seem evident that you shouldn't need it, but the hard reality is that the carriers sometimes won't pay without it.

We use the -25 on both the 99291 and 99292 when there's a separately identifiable procedure from the critical care, and we get paid.

F Tessa Bartels, CPC, CPC-E/M
 
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