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Modifier 25

  1. Default Modifier 25
    Medical Coding Books
    What can anyone tell me about using modifier 25 on the e/m when doing any clia testing? thanks

  2. Default
    If it's "just" an E/M visit with labs, then I do not put -25 on the OV - but don't forget to put -QW on any CLIA-waived lab

  3. Default
    I'm being told by our chief coder, that rather it be a strep, flu or dipstick, the e/m needs the 25

  4. #4
    Default modifier 25
    we always bill our E/M code with a modifier 25 when we have a lab test done in our office. It is the only way that we get paid. We also have CLIA#s for our lab tests

  5. Question Modifier 25
    When billing an E/M code with immunization and admin chgs, do you use Modifier 25? We have a debate going on in our office and since I work there, that has been the only way we can get the claims through and paid? But I am not sure if it is right or not? Any help would be great!

  6. Default
    Yes, you should put mod -25 on the E/M code when immunizations are included

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