Coding, Classification and Reimbursement

EM and psychotherapy Diagnostic evaluation

  • 1.  EM and psychotherapy Diagnostic evaluation

    Posted 20 days ago
    Good morning everyone,

    When billing an EM service and a psychotherapy Diagnostic evaluation,  shouldn't the modifer 25 be placed on the EM code when significantly seperate? I am being advised a 25 modifer can be placed on the psychotherapy code instead of the EM code. 



  • 2.  RE: EM and psychotherapy Diagnostic evaluation

    Posted 20 days ago
    Good Morning,
    Modifier -25 is to be only placed on the E/M service. ​If necessary a modifier -59 can be placed on the psychotherapy evaluation.

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    Laditra Harrison
    Op Coder
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  • 3.  RE: EM and psychotherapy Diagnostic evaluation

    Posted 19 days ago
    Thank you! I appreciate the confirmation!






  • 4.  RE: EM and psychotherapy Diagnostic evaluation

    Posted 15 days ago
    Should you use one of the new modifiers, XP,XE,XP,XS or just use modifier 59. I haven't really seen denials for using modifier 59 instead of one of the new subsets.

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    Steve Oehmen
    Outpatient Coder & Biller
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