Jpad
Networker
Another coder and I are debating on what modifier to use in order to bypass the NCCI edit between 96101/96102 and an E/M code (e.g. 99202-99205, 99212-99215). I am pushing for modifier -59 based on the fact that the 96101 is considered to be a different encounter and since it was done by someone other than the physician (though it was still under the same physician's supervision).
My coworker argues that -25 should be used because it is an E/M paired with a non-E/M code. Any input?
My coworker argues that -25 should be used because it is an E/M paired with a non-E/M code. Any input?