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Click here for more sample CPC practice exam questions and answers with full rationale

Modifier 25 and/or 57

I bill for a plastic surgeon that is called by the ER department regularly. He presents to the ER and does a consult and at times it leads to an emergency surgery. My problem is that we are continually denied the consult reimbursement. After appeal, with documentation, we are still denied. This has been happening mainly by United HC. Does anyone have any experience with this issue?

Thank you

Medical Billing and Coding Forum