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Wiki Modifier 25 dispute

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slaglechristine

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Piketon, OH
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I work for an large physician based hospital and we are getting denials from our billers stating that we need to append an 25 modifier for our EM codes with a 81003. Does anyone have documentation supporting this. Thanks for any help!
 
have you asked them for documentation since they are the ones giving out the "denials"? It may be a payer requirement. Otherwise, no, I don't think you will find an "official" rule on this.
 
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