Modifier 25 is appropriate when the E/M service provided is distinct and separate from the procedure or service being billed for, such as when a patient receives an E/M service during the same visit as a minor procedure or test. 3. What documentation is necessary to support the use of Mo...
The purpose of Reimbursement Policy is to document payment policy for medical and surgical services and supplies. Health care facilities, physicians and other health care providers are expected to exercise their medical judgment in providing the most appropriate care. Reimbursement policy is not intended...
The NCCI focuses on aiding CMS in its goals of decreasing fraud and abuse and reducing the number of overpayments erroneously made to providers. An example of bundling: When coding for vitrectomy with removal of an epiretinal membrane (67041) at the same time as a vitrectomy for removal of ...