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Thread: CMS guidelines

  1. #1
    Join Date
    Apr 2007

    Default CMS guidelines

    AAPC: Back to School
    I found this article on the CMS website, is this correct, new patient do not require -25 when billed with a minor visit ?


    No supporting documentation is required with the claim when this modifier is submitted. However, the patient’s medical records must contain information to support the use of modifier - 25 and be available upon request. The following are the exceptions:

    o This modifier should not be submitted with E/M codes that are explicitly for new patients only: 92002, 92004, 99201-99205, 99281-99285, 99321-99323, and 99341-99345. These services are not considered part of the global surgical policy.

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Can you provide that link?
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007

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