AAPC - Back to school
Results 1 to 2 of 2

Thread: Medicare Mod 25 on 2 seperate claims

  1. #1

    Default Medicare Mod 25 on 2 seperate claims

    AAPC: Back to School
    I have an instance where we had two medicare claims for the same patient. Two different E/M visits, same day but one was for an auto accident the other not. These two claims where billed on different claims but because the claims were for the same cpt code, date and doctor one was declined as a duplicate. Now at our office we are faced with either figuring out how to get medicare to pay for the second visit or write it off. Now I was wondering if we should rebill for the one that was denied as a duplicate using a modifier 25? Also from my understanding the diagnosis for the two claims were different also. Any help would be great.

  2. #2



    We came across such scenario often we can bill with 25 mod for the second EM Visit
    Nandha CPC

Similar Threads

  1. Mod 25 on all E&M claims
    By us063958 in forum Modifiers
    Replies: 3
    Last Post: 01-18-2012, 05:39 PM
  2. 77012 No Seperate Payment, do you include on claim form for medicare?
    By Bartlett Coder in forum Outpatient Facilities
    Replies: 0
    Last Post: 07-18-2011, 03:37 PM
  3. Medicare 2ndary Claims
    By kfc in forum Family Practice
    Replies: 4
    Last Post: 02-16-2009, 02:58 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?


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.