• 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 with S or T indicators

Create Wiki
K

katiejeanne

Guest
Messages
49
Best answers
0
Regarding ER coding....when coding with our new 3M system I get an edit that says a -25 modifier is needed on the E/M code because a code with an S and/or T indicator is on the visit. Do I automatically put the modifier on? Also, I am doing E/M coding for the facility as well as the physician side. So which E/M level would I put the -25 modifier on? Thanks for any help in advance!!!

Katie:confused:
 
For facility billing anytime a status S or status T procedure (IV adminisrtration is a status S, Ultrasound is a T, chest xray is an X, laceration repair is an S) is performed in addition to a facility E&M you will need a 25 modifier on all outpatient encounters for that day. As far as the physician is concerned, if he has an assessment and also performs a procedure you will need a 25 modifier.
 
You must log in or register to reply here.
Top