• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Modifier 25 - I have a question regarding

Create Wiki
C

Cynthia A

Networker
Messages
53
Location
Kachina Coders
Best answers
0
I have a question regarding Modifier 25 with the use of 99291 and 99292.

Can someone please let me know if you need to use modifier 25 on the 99291 when also using 99292?
 
Thank you, the biller in our department added modifier 25 :mad: on to my code and when asking her why she did that she stated the insurance companies in the past have request a modifier. I am unaware of any insurance compay that would request this but who knows.
 
If that's the case then it needs to be taken up with the insurance company. I've always been told that you DON"T add modifiers onto add-on codes. That should be appealed if that was the case.:)
 
Separate procedure?

The only time you should need a -25 modifier on 99291 (AND 99292) would be if you had a separate procedure, such as intubation or chest tube.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
You must log in or register to reply here.
Top