Hi Heidi - based on conventional coding you would not need a modifier -25 on your E/M with a lab...HOWEVER - each insurance has their own policy on this. They don't follow what CPT states, so you'll need to check with each of your carriers. Adding mod -25 to all E/M's isn't going to hurt, it just goes against what we've been taught. You DO need it when an actual procedure is performed, such as 20610, etc. You cannot report an E/M if the patient was scheduled for the joint inj. Same for lesion removals, biopsies, etc. Hope that helps. Watch out for those bricks!
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