Can you please let me know if your practice adds a -25 in the physician office/clinic setting when an xray is done in the office. As a remote/traveling coder all of the clinics I've coded for have not applied a -25; but now I'm coding in a hospital with managers that are well informed, and they state that office setting is different from outpatient. I know that in out patient if the procedure has an X or A status indicator it's not necessary, and the codes are usually appended if they do a procedure with an S or T status indicater. Can you please include a source? I read the CMS info that included a -25 with radiology, but it also included another procedure. Wouldn't the work done by the physician be picked up with the -26? Please help me; I really like to stay updated on the most ucurrent info. Does adding the -25 increase the revenue? Wouldn't that create a red flag, if they do xrays all the time?