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Admission and injection-different places

  1. Question Admission and injection-different places
    Medical Coding Books
    I have a Medicare denial where an Epogen injection was performed at my clinic and then later, the same MD admitted the patient to the hospital for a different problem (99223). According to CCI, 99223 is bundled into 90772. Since both were performed at different places of service and for completely different problems; what modifier, if any, do I use to attach to 99223 to override the CCI edit? Thanks for any help. Illinois Coder

  2. #2
    Seems to me, 25 mod, would be appropriate in this case.

  3. #3
    Definitely modifier -25.


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