You have to use a modifier on the e/m code (25) not on the G codes. Hope this clarifies your question.So if I don't need to put a modifier on G0009 or G0008, how come when I call Medicare to fix the claim, they say I need a modifier? I'm so confused and bummed because our doctors aren't getting paid for a G0008 or G0009.
Yes, that is what you need to do. The modifier 25 is alway attached to the E/M code.okay so let me give you an example so i can fully understand where you're coming from.
Medicare patient comes in for a regular office visit (99213), and is administered a Pneumovax shot (G0009). I would have to put the modifier 25 on the office visit (99213). is that what i need to do??