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Modifier 25 ?

  1. Default Modifier 25 ?
    Medical Coding Books
    THE DOCTOR SEES THE PT FOR OBESITY AND DECIDES TO GIVE HIM B-12 INJECTION. CAN WE USE MODIFIER 25 TO E/M LEVEL? PT HAS PPO INS.

    EXAMPLE:

    99213 -25
    J3420
    96372

    DX 278.00

    THANKS IN ADVANCE
    MSMADDY

  2. #2
    Default
    Yes, you will need the modifier 25. Also don't forget the appropriate ICD-9 code for the B-12 injection.

    I hope this helps!

    Teresa Collins, CPC
    Last edited by Teresa Collins; 11-04-2010 at 01:24 PM. Reason: typo

  3. #3
    Location
    Greensboro, NC
    Posts
    67
    Default
    Do the insurance companies pay you for the admin code 96372?
    Thanks
    C. Robinson

  4. #4
    Default
    Quote Originally Posted by cynthiar View Post
    Do the insurance companies pay you for the admin code 96372?
    Thanks
    C. Robinson
    Yes, generally speaking, they usually do.
    Teresa Collins, CPC

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