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Ophthalmology Coding Alert

Modifiers: Modifier 25 Misuse Leads to Six-Figure Settlement for This Ophthalmologist


- Published on Thu, Jul 20, 2017

At issue: Whether to report intravitreal injections with E/M services.

Some eye care practices are so accustomed to tacking modifier 25 onto their E/M services that they don’t always stop to check whether their documentation supports its use. But appending it incorrectly can lead to a world of trouble, as one New York ophthalmologist recently discovered.

The case: The ophthalmology [...]




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