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Thread: modifier -25 and radiology

  1. #11
    Join Date
    Apr 2007
    Milwaukee WI

    Default -25 modifier

    AAPC: Back to School
    The -25 modifier is used to identify a significant, separately identifiable E/M service when another service/procedure is performed on the same date, by the same physician.

    If you are "sending the patient for an MRI" I would guess that you are not performing the MRI yourself, so no -25 modifier is needed on the OV.

    F Tessa Bartels, CPC, CEMC

  2. #12
    Join Date
    Apr 2007

    Default mri

    Thanks Tessa,
    We have been debating at the office over the use of the modifier 25. I have been looking for material on the subject to try and resolve our inconsistenices when using this modifier. We are also dealing with the modifier 57 too. I have read the guidelines and can see how different people can interpet it so differently. We are now trying to understand the incident to stuff. Crazy crazy days ahead.

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