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.
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.
yes
99396
Periodic comprehensive preventive medicine
Its refer to modifier 63, the instruction is to not report modifier 63 in conjunction with CPT code 65820.
Yes, CPT code 99396, which is used for a periodic comprehensive preventive medicine evaluation and management of an established patient, can have modifier 25 appended. Modifier 25 indicates that a significant, separately identifiable evaluation and management service was performed on the same day as the preventive service. This is applicable when the physician provides additional services beyond the routine preventive visit, justifying the use of both codes for billing.
99396 is a CPT code, not an ICD9 code. The ICD9 code you use will depend on the condition or reason for the visit.
what modifier do i use for 96374
25
is it 59
Code the IUD removal CPT with a -53 modifier.
CPT code 44120 with modifier -52.