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Wiki Supporting 25 modifier

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shariq84

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Does the change in medication due to an exacerbation in symptoms is sufficient to support 25 modifier, ?
few payers do not allow it?

Can anyone suggets?
 
shariq84 said:
Does the change in medication due to an exacerbation in symptoms is sufficient to support 25 modifier, ?
few payers do not allow it?

Can anyone suggets?
Click to expand...

A change in medication and exacerbation of symptoms are part of the medical decision making affecting the E&M code, so what other CPT code would you bill to justify a 25 on the E&M? There is nothing separately identifiable.
 
Continued 25 modifier.

Thanks a lot: So does that mean, in case of a preventive care service billed with E/M (established visit), in case the physician prescribes some additional medication due to increased migraine (for example), will still get only preventive service paid and E/M service unbundled??
 
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