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Wiki Modifer 25 with annual exam

gigi2266

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Lincoln Univ, PA
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NP annual exam comes to the office for gyn. Pt has annual but also has other issues. Physician documents properly and 25 modifer is placed on the E&M. Is it correct coding that the E&M used with the modifier should be an established E&M code with a new patient annual exam code?
 
modifier 25

We have been billing a 25 modifier on the E&M along with a physical and we do receive payment. There are very few insurance companys that are not paying.
 
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