Author Topic: MODIFIER 25  (Read 332 times)

nycdoctor

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MODIFIER 25
« on: 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?

kristin

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Re: MODIFIER 25
« Reply #1 on: 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.