tci Part B Insider - 2007 Issue 21

PQRI: Don't Forget Modifiers For Measures That Don't Fit The Facts

More answers to your last-minute PQRI questionsYou may just be starting to submit your claims for early July, which means it's your last chance to untangle your PQRI coding dilemmas. Here are some more answers to your PQRI questions:Q: If a claim consists of just an evaluation and management visit plus a category II code for the PQRI, do we need to attach the 25 modifier to the E/M code?A: No. Since these are assessment codes and don't actually describe a -procedure,- you don't need to add the 25 modifier, says Kevin Arnold, business manager for emergency...

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