kfrazier
New
We have a physician that does scheduled Prolia/Evenity injections. We understand that you cannot charge an OV with a -25 modifier when the purpose of the visit is for a scheduled injection. However, we have some questions for anyone who bill these injections. Our physician does a complete ROS, reviews and explains lab results ( labs were performed prior to the visit), and also does a complete physical exam. Where we need clarity is if the review of labs would qualify for the use of a -25 on the OV or is that review part of the prep for the Prolia/Evenity injections? Any input would be greatly appreciated.