Medical Economics outlined three tips for avoiding denials related to modifier -25:
1. Apply the modifier to the evaluation and management code, rather than the code for the procedure.
2. Document why the additional E/M service was necessary.
3. Be cautious about using the modifier for pre-scheduled and repetitive procedures, such as skin tag removals or pain injections.
More articles on coding, billing and collections:
Delaware pain physician indicted in $12.7M Medicare fraud scheme
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Aurora Health Care opens $55.5M outpatient surgery center
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