Wiki Timed visit Modifers

[RNSI521]

Does anyone know if the Modifer 25 is appropriate for time/ unit based codes? I have a nutrition counseling visit 97803 2 units being denied " needs modifer"

 

[Deborah Marsh]

Hi - There may be a payer policy or something particular to the encounter that requires a modifier - NCCI edit or identifying the provider type, like SW Services provided by a certified diabetic educator or AE Registered dietician. Mod 25 is only for E/M codes, so not for 97803. (You could append modifier 25 to an E/M code reported based on time.)