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Wiki E/M & diagnostic x-ray: 25 mod on E/M?

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heycodinglady

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:eek: Help! Was just handed orthopedic office superbills with E/M visits plus x-rays. Do I need a 25 modifier on the E/M visit or anything on the x-ray besides RT or LT? Or can I put them through 99214, 73560LT (for example)?

Any help would be greatly appreciated!

Thank you,

Sue Haile :eek:
 
I code for the facility (hospital)...the modifier -25 is generally appended when an edit has been generated between the E&M and a type "S" or "T" procedure on the same date of service.

CPT 73560 (Type X) would not generate an edit with the E&M therefore no modifier -25 would be necessary.

Type= Status Indicator

I am not sure that this is the same logic used on the physician side.
 
thank you

Thanks for the help. I just couldn't find anything in the CPT book that speaks either way. But the software system we use gives us edits, and it is not giving me an edit, so I was thinking that I didn't need it, but I wanted to be sure.

Thanks again.
 
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