tci E/M Coding Alert - 2020 Issue Q1

Reader Question: Don’t Modify This E/M Venipuncture Scenario

Question: Should I apply a modifier 25 onto an E/M visit code (992xx) when my oncologist performs a finger/heel/ear stick (36416) and orders labs (or at least 85025)? Alabama Subscriber Answer: No. The visit code 992xx (Office or other outpatient visit …) does not require a 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 other service) when 36416 is billed. There are a few reasons for that: For Medicare, 36416 is not payable service, but other payers may...

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:
  • tci E/M Coding Alert +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

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