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Part B Insider (Multispecialty) Coding Alert

What's On the RAC Hot List? E/M Codes Billed With Procedures

Review guidance on modifiers 24, 25, and 57 before you submit your claims. The popularity of appending modifier 25 can't be denied. It allows you to collect for both an E/M visit and a procedure; however, that doesn't mean it's always appropriate. One recovery audit contractor (RAC) recently identified E/M codes billed with procedures thathave 10- and 90-day global periods [...]