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Stenting Procedure on the Same day and an E&M

Leorah Posted Sun 18th of August, 2019 04:28:20 AM
Our dr.'s provided an E&M on the same day as the stenting procedure but was not related to the stenting. Would I append a 24 and 25 modifier to the E&M? Thanks
SuperCoder Answered Mon 19th of August, 2019 11:12:35 AM
Hi Thanks for your question When you report modifier the E M service must meet these criteria The E M service occurs during the postoperative period of another procedure The current E M service is unrelated to the previous procedure The same physician or tax ID or same group and...
Leorah Posted Tue 20th of August, 2019 12:52:58 PM
Thanks but let's say both those modifiers apply, can I code both modifiers?
SuperCoder Answered Wed 21st of August, 2019 08:56:10 AM
Hi Modifier and can be billed together with E M code but the documentation must suggest the use of both the modifiers As in above situation modifier can be appended with E M when physician perform unrelated E M service during postoperative period If during the unrelated E M visit...
Leorah Posted Sun 08th of September, 2019 04:33:28 AM
In the case that I mentioned which is a stent procedure that takes place on the same day as another E&M should I bill both 24 and 25 modifier?
SuperCoder Answered Mon 09th of September, 2019 10:42:02 AM
nbsp Hi As already stated modifier and can be billed together with E M code but the documentation must suggest the use of both the modifiers In the scenario mentioned above it is appropriate to append modifier since the patient had an unrelated E M service by the same physician...

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