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modifer with S0257

  1. #1
    Default modifer with S0257
    Medical Coding Books
    Does anyone know what modifer we should use with S0257 (advanced directive counseling) ? Thank you.

  2. #2
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    Tacoma, WA
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    Quote Originally Posted by olgunchik View Post
    Does anyone know what modifer we should use with S0257 (advanced directive counseling) ? Thank you.
    Why do you need a modifier? Was there a denial of service as needing a modifier? Need more information.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
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    "S0257 denied as payment adjusted because the procedure modifer as invalid on the date of service". This was denial.
    S0257 was billed with office visit and mod 25 attached to OV.
    Thanks

  4. #4
    Location
    Tacoma, WA
    Posts
    1,087
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    Quote Originally Posted by olgunchik View Post
    "S0257 denied as payment adjusted because the procedure modifer as invalid on the date of service". This was denial.
    S0257 was billed with office visit and mod 25 attached to OV.
    Thanks
    Was this billed to Medicare or a commercial payer? Medicare does not pay for this code ever. Commercial payers may not either, you would need to check with the plan. The code indicates counseling and discussion regarding advance directives or end of life care planning and decisions. It is likely not a separately covered service, so that is why the modifier was incorrect.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  5. #5
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    I see. Thank you very much for input

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