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using modifier 25 for new patient who is also getting an MRA/MRI

  1. Default using modifier 25 for new patient who is also getting an MRA/MRI
    Medical Coding Books
    how do you handle the decision to perform a MRA/MRI for a new patient being seen in a pain management facility? what are the medicare guidelines for this? would you use the modifier -25 in addition to the new patient office visit?

  2. #2
    Milwaukee WI
    Default Are YOU performing the MRA/MRI?
    If your office is performing the procedure on the same date of service as the visit, then, yes you could append -25 to the visit. Some carriers say they don't need the modifier for a new patient, but most won't pay without it.

    F Tessa Bartels, CPC, CEMC

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