Modifier 25

A patient presented to the office for a procedure, CPT® 11310. The patient also gets regular testosterone injections monthly. The regular injection was given the day of the procedure. The three CPT® codes to bill are 11310, J3130 and 96372. Do I need to attach a modifier 25? If so, to what CPT® code does this attach to?

re: Modifier 25

Modifier only goes on E&M (visit) codes.

re: Modifier 25

Thank You

re: Modifier 25

You need modifier 59 on the 96372 to designate a separate service. This overrides the NCCI bundling. Make sure you have appropriate, different diagnosis code(s) for the procedure and the injection.