Forum - Questions & Answers

Dec 28th, 2014 - cpark0403 3 

when an office visit includes a j code are you always supposed to add modifier 25

If, as an example you billed an office visit 99213 for the purpose of seeing the patient regarding contraception and you gave a depo shot J1050 would you bill the e&m with 25 (always)?

Thanks

Dec 28th, 2014 - amyturner84 3 

re: when an office visit includes a j code are you always supposed to add modifier 25

No you don't use a modifier for a J code. Only use a modifier for a procedure. The j code is just getting reimbursement for the medicine you used.



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