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CMS guidelines

  1. #1
    Default CMS guidelines
    Medical Coding Books
    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
    Greeley, Colorado
    Can you provide that link?
    Lisa Bledsoe, CPC, CPMA

  3. #3

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