Unlock the full potential of your medical coding capabilities with the CPT® Advanced Coding Pack from the American Medical Association (AMA). Designed for professional medical coders, auditors, and billers like you, this comprehensive suite of resources provides everything you need to navigate the complexities of the CPT code set with confidence and precision.
Advanced Coding Pack includes:
CPT Assistant - Newsletter with official education and guidance
CPT Knowledge Base - Commonly asked coding questions answered by the experts
CPT Vignettes - Comprehensive clinical examples.
Add to your Find-A-Code subscription for $300 / person
tci E/M Coding Alert - 2022 Issue Q2
You Be the Coder: Don’t Use Modifier 25 With Minor Global Period
Question: Encounter notes indicate that the provider performed osteotomies on the distal third of the radius and ulna after a level-four new patient office evaluation and management (E/M) service. The osteotomies did not involve realignment on an intramedullary rod. I reported 25350 and 25360 for the osteotomies and 99204-25 for the E/M and the payer denied the claim. How should I report for this encounter upon resubmission?
Texas Subscriber
Answer: You’ll report two codes for this encounter: a single code for both osteotomies and an E/M code. Also, your modifier choice was incorrect.
On the claim, report:
25365...
To read the full article, sign in and subscribe to tci E/M Coding Alert.
Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.
Current newsletters added each month
Fully searchable archives - over 500 articles
ALL years/issues back to 2013 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: