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Wiki Modifier 25

Thread starter mazziotn@ebnhc.org
Start date Jan 19, 2024

Create Wiki

M

mazziotn@ebnhc.org

New

Jan 19, 2024

#1

Hi
if patient came in had an e/m visit, 99213 and also was sent for an xray, does the e/m 99213 need a modifier 25?

M

mmckibbin

Contributor

Jan 19, 2024

#2

Do you bill for any part of the x-ray? If you do then yes it needs the modifier, if you don't then it doesn't.

A

amyjph

True Blue

Jan 19, 2024

#3

Did you check NCCI edits with the codes you intend to bill? What would prompt a modifier 25 to be appended in this instance?

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