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Thread: Mod 25 w/ Strep or UA Dipstick

  1. #1

    Default Mod 25 w/ Strep or UA Dipstick

    AAPC: Back to School
    Hi, I am hoping someone can help me. I am looking for some documentation that proves it is acceptable to use the mod -25 on a e/m when doing a ua dipstick or a throat rapid strep. For example when coding 99213 and 81002. Thanks.

  2. #2
    Join Date
    Apr 2007
    Grand Rapids


    Are you having trouble getting the labs paid? We don't use modifier 25 when billing labs with an OV - I'm not sure about any documentation stating that you can bill like that.

  3. #3


    Yes, they are denied. This is the dipstick and rapid streps done in the office. I was told they need a -25, but I do not feel comfortable without documentation.

  4. #4


    You don't need that modifier for a UA w/ OV - what insurance denied? Now HAP is making the UA inclusive to the OV.

  5. #5


    The ones I have so far are blue cross. I appriciate the help.
    Last edited by weevily; 06-02-2011 at 11:51 AM.

  6. #6


    Do you have a charge matrix for your office?

  7. #7


    What denial is BC giving you?

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