Results 1 to 2 of 2

Modifier 25

  1. #1
    Default Modifier 25
    Medical Coding Books
    Can anyone tell me if you need to put a modifier 25 on an office visit when you also do labs or an EKG? I was once told these were diagnostic and you didn't need the modifier 25?

  2. #2
    Location
    St. Louis West, MO
    Posts
    29
    Default no need for modifier 25
    Modifier 25 is used to indicate a separately identifiable E/M service in the presence of another service. It is used to indicate that you are not unbundling and that the E/M service goes above and beyond the examination/evaluation required by the procedure. Lab and radiology are diagnostic and do not fall into that realm. Here is an article by the OIG regarding use and misuse of modifier 25
    http://oig.hhs.gov/oei/reports/oei-07-03-00470.pdf

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.