Wiki E/M with Treadmill

[baroquecoder]

TMT was planned and was stated as chief complaint.
Reason for procedure; palpitations.
An Exam and ROS are done
Impression: palpitations.
Does an ROS and Examination done on same day as a planned TMT, qualify as an E/M?
99214-25 + 93016 + 93018.
Thanks!

 

[smoore123]

With the information you have provided it does not appear that it was a service supportive of an E/M with modifier 25. The bottom line is was the service significant AND separately identifiable AND does the documentation support it. I would recommend looking up the information that CMS or your MAC offers online regarding modifier 25. Here is a link to Novitas one of the many that have published guidance out there.

https://www.novitas-solutions.com/w...entId=00097341&_adf.ctrl-state=18lpbw8rmb_120

Kind Regards,
Steph