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Modifier 25 can be used with procedure 99396, which is a preventive medicine evaluation and management service. This modifier indicates that a significant, separately identifiable E/M service was performed on the same day as another procedure. If a patient receives a preventive visit along with a separate, medically necessary service during the same encounter, modifier 25 would be appropriate to indicate the additional service. However, proper documentation must support the necessity of the additional E/M service.
What else can I help you with?
When billing both 99214 and 99396 should a modifier 25 be used?
Yes, a modifier 25 should be used when billing both 99214 (an office visit) and 99396 (a preventive medicine service) on the same day. Modifier 25 indicates that a significant, separately identifiable evaluation and management service was performed on the same day as a preventive service. This helps to clarify to payers that the office visit was necessary beyond the routine preventive care provided. Always ensure that documentation supports the use of this modifier.
How do you bill procedure 99214 with procedure 96372?
Need to bill with modifier 25
Can you use 25 mod with 99396?
what.
Do you place a 25 modifier with a 81025 procedure code?
Yes, a 25 modifier can be placed with the 81025 procedure code if a significant, separately identifiable evaluation and management service is provided on the same day as the procedure. The 81025 code refers to a urine test for pregnancy, and the modifier indicates that the patient required additional services beyond the routine procedure. Always ensure proper documentation supports the use of the modifier to justify the separate encounter.
Medicaid does not recognize modifier 25?
no
Which modifier would you use for CPT 99243?
25
What modifier do you use with cpt code 94640 and 94060?
25
What does procedure code 99213 25 stand for?
99213 = Office or other outpatient visit for the evaluation and management of an established patient of low to moderate severity; physician spends typically 15 minutes face-to-face with the patient and/or family. 25 (modifier) = Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.
What modifer do you use with cpt 99213?
When using CPT code 99213, the most common modifier is -25, which indicates that a significant, separately identifiable evaluation and management service was provided on the same day as another procedure or service. This modifier is essential when billing for a visit that includes both a problem-focused exam and additional services, ensuring that the E/M services are appropriately reimbursed. Other modifiers may be used depending on specific circumstances, but -25 is the primary one associated with 99213.
Can you add a modifier 25 to 99395?
Yes, you can add modifier 25 to code 99395. Modifier 25 indicates that a significant, separately identifiable evaluation and management service was performed on the same day as another service. In this case, it would suggest that a comprehensive preventive exam (99395) was conducted alongside an additional evaluation or treatment that warranted separate billing.
When was Standard Operating Procedure released?
Standard Operating Procedure was released on 04/25/2008.
What is medical code 9928425?
This code should read as: 99284-25 99284 = Emergency department visit for the evaluation and management of a patient with a detailed history and examination, and medical decision making of moderate complexity. -25 = Modifier that indicates a "significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service."
