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is modifier 25 acceptable to use on a 99211?

  1. #1
    Location
    Melbourne, Florida
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    124
    Default is modifier 25 acceptable to use on a 99211?
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    is modifier 25 acceptable to use on a 99211 ?
    also coded with it g0008,90656 and g8446 ( medicare denied the 99211 (co :97)
    Denise Gilrane-Pillow, CPB

  2. #2
    Location
    Columbia, MO
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    12,558
    Default
    You cannot bill a 99211 for the administration of an injection. You may bill the vaccine codes and the admin code only.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    Melbourne, Florida
    Posts
    124
    Default
    I would like to add a modifier 25 since we wrote a prescription for hypertension which was a different dx for the reason for the injections. Would Medicare still deny it then?
    Denise Gilrane-Pillow, CPB

  4. #4
    Location
    Columbia, MO
    Posts
    12,558
    Default
    Yes they will still deny it.

    Debra A. Mitchell, MSPH, CPC-H

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