Medical Billing Forum

Coding => Coding => : nycdoctor May 22, 2022, 10:02:22 AM

: MODIFIER 25
: nycdoctor May 22, 2022, 10:02:22 AM

If a patient comes for routine foot care and it consist of both nail debridement and cutting of the callus every 2-3 months am I able to use modifier 25?

: Re: MODIFIER 25
: kristin May 30, 2022, 02:02:58 AM

Without seeing the tx note, my answer would be no. The patient needs to be treated for conditions beyond the nails and callouses to have an E/M billed at the same time. Every procedure code has an E/M allowance built into it. So without seeing the tx note, there is no way to say if the E/M is separately allowable.