Question Timed visit Modifers

RNSI521

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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

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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.)
 
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