DecisionHealth, DecisionHealth - 2011 Issue 11 (November)

Ask a Part B News Expert: Billing allergy tests

Is it correct to bill a claim with modifier 25 if a patient comes in to get allergy testing but also wants to see the doctor for an office visit in the same day? In this case, our practice usually bills with modifier 25 but Medicare only pays for the lesser charge and denies the other. How can we get paid for both?

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