Need help PLEASE!!!!

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I asked a question yesterday about the modifier 25 being used with and EM code and an urinalysis - 81003. Our billing department is stating this needs to be used with every 81003 when (as coders) bill this out. I work in Ohio and I feel this is an over use of the modifier. If anyone can help with documenation in writing it would be greatly appreciated.
Thanks!
 

Leandra

Guru
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149
Location
Grand Rapids
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We don't use modifier 25 on any E&M when billing lab too. We never have a problem getting paid without the modifier. However, if it's Medicare, certain labs do require the CLIA number and QW modifier. Could that be part of the problem?
 
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