Modifier 26
25
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.
Yes, however add 99203 modifier 25.
99213
99213
99213
99213 - Office or other outpatient visit for the evaluation and management of an established patient:
what is code 71100 and 72110
99212 99213 99214
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.
00003-0293-20 ten mg