This is a very broad question and for further guidance, I would suggest you get the BCBS billing guidelines for your state and verify their requirments. E&M visits by the same provider/group on the same date of service are added together and billed as you know.
It's not clear exactly what type of facility you are billing for, so my answers are general guidelines for facility. I'm sure others will have more specific answers.
CPT does list modifiers 25 and 27 as acceptable for Ambulatory surgery center hospital outpatient use.
Here is a link to a supercoder article that is very helpful in explaining modifier 25 vs. 27. http://www.supercoder.com/articles/a...ional-service/
CMS says the modifier goes here: Hospitals append modifier â€“27 to the second and subsequent E/M code when more than one E/M service is provided to indicate that the E/M service is a â€śseparate and distinct E/M encounterâ€ť from the service previously provided that same day in the same or different hospital setting.
For repeat labs, the modifier is 91-if the repeat lab is necessary to obtain subsequent (multiple) test results within on the same day. Under these circumstances, the lab test performed an be identified by its usual procedure number and the addition of modifier 91.
I try to do what I can document, so I would request that the billing manager who believes modifiers are needed show you her documentation and help you to build a billing procedurees guideline. Hope this helps a little
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