to use 25 or not?

coderforlife

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I have a situation that I would like some help with. Lets say a clinic is self supporting, I mean it has its own radiology and casting departments. Patient A comes to the office and sees the doctor for a sore wrist. The doctor determines this patient has a distal radius fx and writes an order to have them placed in a short arm cast. When I code for the office visit lets say I use 99213. Will I need to append a modifier 25 to the office visit? The casting dept is billed out with the same tax id. The doctor only wrote the order for the cast and did not do any casting themselves.

coderforlife :confused:
 
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