NEW! - AMA CPT Advanced Coding Pack

×

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:

1. CPT Assistant - Newsletter with official education and guidance
2. CPT Knowledge Base - Commonly asked coding questions answered by the experts
3. CPT Vignettes - Comprehensive clinical examples.

Add to your Find-A-Code subscription for $300 / person

Learn More and Subscribe

close

tci E/M Coding Alert - 2013 Issue 10

Reader Question: Modifier 25 Trumps 59

Question: Our payer is denying a claim involving an E/M and a fine needle aspiration (FNA) of a bone lesion with modifier 59 for an improper modifier. Is my modifier use appropriate?California Subscriber Answer: Most payers, including Medicare carriers, require modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the same day of the procedure or other service) on an E/M service reported with a minor procedure, such as an FNA of a bone lesion. You should consider procedures with a 0- or 10-day global period as minor...

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.