Forum - Questions & Answers
Modifier 25
If we are billing an office visit and an x-ray only, it it necessary to add modifier 25 to office visit CPT®?
re: Modifier 25
No; yu only put 25 on a procedure code that has a 000-010 Global day and its Above and beyond normal pre op care.
re: Modifier 25
You should not need the modifier -25 on E/M code when also performing a diagnostic test.
Unless, payer tells you they want it.
re: Modifier 25
I am hearing from coders around the country that more payers have edits in place that require using modifier 25 on an E/M when almost anything is done on the same day: diagnostics, injections, immunizations, and of course, procedures.
The problem for us in keeping straight which require it and which don't, when it doesn't strictly follow coding rules.