Coding

If I bill for 92504 do I use a modifier for the E/M code?

92504

Many payors will support this method. The E/M must be above and beyond the procedure performed to bill the documented level. Other payors only require modifier 25 on a E/M code when a minor (0 or 10 day global) surgery section code is performed. Putting modifier -25 on the E/M can't hurt, in this situation (but may not be required). Isn't coding fun, certainly not black or white!