×

close

tci E/M Coding Alert - 2014 Issue 5

Reader Question: No Modifier When E/M is Months Prior to Injection

Question: If a doctor injects a high-end injectable such as Synvisc, Hyalgan, Orthovisc or Euflexxa, is it alright to charge an E/M with modifier 25? Our practice is that we do not bill an E/M with a high-end injectable if the physician discussed the injections with a patient up to as long as three months prior to the injection. West Virginia Subscriber Answer: You cannot bill an E/M service, with or without modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.