stacey8116
New
Can anyone point me to the regs for Medicare that govern the use of Modifier 25 with regard to ER visits? I have been out of the coding research business for awhile.
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Wiki Modifier 25 and ER Visits
- Thread starter stacey8116
- Start date
mitchellde
True Blue
I am not sure what you are looking for. You need a 25 modifier for any visit ER included when a procedure is performed in the course of the encounter. The same is true for facility, except that facility has a minor twist, if a procedure is performed in any encounter for the day any visit ER or otherwise must have a 25 modifier to be reimbursed. Of course presuming the visit qualifies for a 25 modifier.
wendy433
New
Do you always apply a modifier 25 with an ER E/M level when charging a 36415?