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OV and Pacer check on same Day???

  1. Question OV and Pacer check on same Day???
    Medical Coding Books
    If you bill a 93280 (pacer check) and an OV on the same day they are being denied as bundled. Can someone please try to explain to me why? I would really appreciate it.

  2. #2
    Have you tried using 25 modifier on ov.try that way and see if you haven't so far.


  3. #3
    Greeley, Colorado
    Modifier -25 is required on the significant separately identifiable E/M.
    Lisa Bledsoe, CPC, CPMA

  4. Default
    Pacerchecks have an E&M included in with the check. The OV must be significantly separate in order to bill for the OV. I would apply the 25 mod to the OV only if you have documentation to support the OV was not part of the Pacercheck.

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