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Modifier 25 on new psychiatric w E/M codes

S

slevine

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Massapequa, NY
Can anyone give me some help. I am billing the new psychiatric codes with E/M codes. I need confirmation that I need to include modifier 25 on the second code so the second procedure does not get denied. I need clarification.
 
The coding sequencing is that the E&M code is the primary procedure, followed by the psychotherapy codes. The codes 90833, 90836 and 90838 (Psychotherapy with an E&M) are add-on codes to the main procedure. You never, ever append a -25 with an add-on code.
 
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