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E&M w/labs question

  1. Default E&M w/labs question
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    I have not done family practice coding for about 10 years (since have been doing orthopedics w/no labs). I am helping out a family practice clinic and wanted refresh my memory as to whether to use a modifier 25 on the E&M code if also billing a venipuncture, UA, or any other form of labs. Please help my memory. Don't remember having to do that with labs 10 years ago!!

  2. #2
    Default Not usually
    You do not usually have to append a modifier 25 to the office visit when performing labs at an office visit. Aetna is the only plan I know of that will only pay for a UA when modifier 25 is appended to the E/M. Most others do not require it though! Hope that helps!
    Allyson Martin, CPC, CMC

  3. Default
    Thanks for the heads up. They were telling me at their office that you do and I thought it sounded a little odd, not quite what I remembered, but it has been a while. Appreciate the answer and help!!

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