Forum - Questions & Answers
OV with a Proc Coding
I'm new to this and have no certification so I would appreciate any help. If doc does a 99213 with a proc which line item goes first? The OV or the Proc?
OV with a Proc Coding
OV goes first. Be sure to add the proper modifier in order to get it paid. In most cases, this will probably be a -25 modifier, but it may vary depending on prior procedures. More information would be necessary to determine that. Hope this helps.
Podiatry
That's what I thought-thank you!
modifer 25
[OV goes first. Be sure to add the proper modifier in order to get it paid. In most cases, this will probably be a -25 modifier, but it may vary depending on prior procedures. More information would be necessary to determine that. Hope this helps.]
modifer 25 is only used if the procedure provided is attached to another diagnosis...If you are doing a procedure for the same dx as the office visit you do not use 25.
modifier 25
Also review the article on Codapedia:
Can we bill a low level E/M with every procedure