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Thread: Pneumo inj w/ a modifier????

  1. #1
    Join Date
    Apr 2007

    Question Pneumo inj w/ a modifier????

    AAPC: Back to School
    Commercial insurance company is denying our 90732 with an E&M visit stating that we need a modifier 25. i've never billed a modifier 25 with this unless we actually charge for the vaccine itself. any advice???

  2. #2
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire


    When there is more that a vaccine done we do add the modifier. A lot of payers are requiring this.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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