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Thread: Need help PLEASE!!!!

  1. #1

    Default Need help PLEASE!!!!

    AAPC: Back to School
    I asked a question yesterday about the modifier 25 being used with and EM code and an urinalysis - 81003. Our billing department is stating this needs to be used with every 81003 when (as coders) bill this out. I work in Ohio and I feel this is an over use of the modifier. If anyone can help with documenation in writing it would be greatly appreciated.

  2. #2
    Join Date
    Apr 2007
    Grand Rapids


    We don't use modifier 25 on any E&M when billing lab too. We never have a problem getting paid without the modifier. However, if it's Medicare, certain labs do require the CLIA number and QW modifier. Could that be part of the problem?
    Leandra Tufts, CPC, CEMC, COBGC

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