CPT code 99396, which is used for a preventive medicine evaluation and management service for established patients, typically does not require a modifier unless there are specific circumstances that warrant one. For example, if the patient has a separate significant medical issue addressed during the visit, modifier 25 may be appropriate. It’s essential to review payer policies and guidelines to determine if any modifiers are necessary for billing in unique situations.
Modifier 59 is used to represent a different session or patient encounter, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same physician. You would not use modifier 59 on an E&M service such as 99396.
yes
No, its specifically intended for the IGRA TB test modalities
99396
Periodic comprehensive preventive medicine
Review Modifier -59 is if applicable
CPT 84439, which codes for a thyroid-stimulating hormone (TSH) test, typically does not require a modifier when reported alone. However, if it is performed in conjunction with other tests or if specific circumstances warrant it, a modifier may be necessary to indicate the reason for the test or to clarify the billing. It's important to check payer guidelines as they can have specific requirements regarding modifiers. Always ensure proper documentation supports the use of any modifier.
Its refer to modifier 63, the instruction is to not report modifier 63 in conjunction with CPT code 65820.
what modifier do i use for 96374
CPT
no
is it 59