Would you still bill it this way even if the DX is the same for all the procedure codes?
TIA
Gina, CPC, CEMC
Does everyone bill a mod -25 for a 99212, 96372, J3301?
OK, that makes more sense
Anytime you bill a procedure code along with an E/M code, you need a mod-25, even if it's a realtively simple procedure, such as 93672.
I think I hear you saying that if the visit qualified for a 99212 and an injection was performed (96372), then no matter what, (given there is appropriate documentation), a -25 would be appended to the 96372.
I think I am understanding now (after reading and a lunch break ) that it's not the procedure that needs to be significant, it needs to be the E/M that is significant enough to warrant a code which then needs a -25.
Again, I know I "said" 96372, but I meant -25 is appended to the E/M BECAUSE of the 96372.
Nevermind.