Modifer 25 - My co-workers

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Mount Sinai, NY
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Hi all,

My co-workers and I are in a little debate about the use of a modifier 25 on an E/M service while billing a 76815 as well. I am convinced that we do not use modifier 25's when it comes to 70000 codes but they are telling me otherwise. Can anyone shine some light on this subject or provide something in writting proving me wrong?

Thank you!
Andrew
 

lcarbaugh

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per ncci edits 25 modifier is not applicable (9) for 76815 billed with an e/m code. so, no modifier required.
 
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