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Modifier 25 dispute

  1. Default Modifier 25 dispute
    Medical Coding Books
    I work for an large physician based hospital and we are getting denials from our billers stating that we need to append an 25 modifier for our EM codes with a 81003. Does anyone have documentation supporting this. Thanks for any help!

  2. #2
    Kansas City, MO
    have you asked them for documentation since they are the ones giving out the "denials"? It may be a payer requirement. Otherwise, no, I don't think you will find an "official" rule on this.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

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