from what you are stating below, the E/M is bundled/included in the infusion. Modifier 25 is ONLY to be used if there is a significant, separately identifiable E/M by the same physician on the same day of the procedure or service. With there being no problems during the infusion, no problems pre-infusion there is nothing separately identifiable. You may want to review Appendix A and the definition of modifier 25. There is alot of discussion of medical necessity (OIG plan), if there are no problems pre or during, based on your description, there is no medical necessity of the E/M visit. There is documentation on this within the Medicare Manual on CMS website, I think it is in Chapter 12 of the Medicare Claims Processing Manual. http://www.cms.hhs.gov/Manuals/IOM/list.asp#TopOfPage
If you can't find the documentation, email me at email@example.com and I will see if I can find it for you.
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