tci Part B Insider - 2006 Issue 13

INJECTIONS: Watch Out--Carriers Deny E/M Service With 90772

Don't forget the 25 modifier, but separate diagnosis isn't necessaryMedicare is supposed to pay for a separate office visit along with new injection code 90772, except for a level-one office visit (99211 ). But many coders report that Part B carriers are denying either an E/M code or the 90772 when both are billed on the same date.Do this: You must put a 25 modifier on the E/M code, says coder Ronda Scalise with Premier Medical Group in Clarksburg, WV. Any time she forgets to put the 25 modifier on the office visit, the carrier denies it, instead...

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