pondrov@yahoo.com
Contributor
We've just been informed by BCBS we are appending Modifier 25 "too often".
The only way this would be happening is our outside billing company appending a 25 to x ray services.
We are an orthopedic group,routinely get x rays for new patient baseline evaluation as well as for established and post op patients and we do not append the modifier 25 to any x rays taken in office.(always taken at time of office visit and exam,never "just an x ray")
The more I read and research the verbiage around x rays and modifier 25,the more confused I get.
Can anyone please advise if and when a modifier 25 is to be appended to an E/M code where x rays were performed at the time of office visit?
Thanks in advance.
The only way this would be happening is our outside billing company appending a 25 to x ray services.
We are an orthopedic group,routinely get x rays for new patient baseline evaluation as well as for established and post op patients and we do not append the modifier 25 to any x rays taken in office.(always taken at time of office visit and exam,never "just an x ray")
The more I read and research the verbiage around x rays and modifier 25,the more confused I get.
Can anyone please advise if and when a modifier 25 is to be appended to an E/M code where x rays were performed at the time of office visit?
Thanks in advance.