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Mod 25 w/ Strep or UA Dipstick

  1. Default Mod 25 w/ Strep or UA Dipstick
    Medical Coding Books
    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
    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. Default
    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. Default
    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. Default
    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. Default
    Do you have a charge matrix for your office?

  7. Default
    What denial is BC giving you?

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