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Office Visit with Manipulation

  1. Default Office Visit with Manipulation
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    Does anybody know if a modifier 25 is needed on the E&M visit if manipulation (code 98925) is also being done in that same visit by the same physician? Thanks in advance for any info on this.


  2. Default E&M with Manipulation
    We append a 57 modifier to any fracture code with or without manipulation when a patient has an E&M on the same day. Fractures are considered surgeries. Hope this helps.

  3. Default
    It has been a while since I have coded for manipulations, but I do believe that we did append modifer 25 to the E/M code as we considered the manipulation codes (98925 to 98929) separate. Hope that helps...

  4. #4

    I agree, E/M should be appended with mod 25 as 98925 has a global period necessitating mod 25.

    Girish Dadhich, CPC

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