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.
25
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. Use modifiers 25 & AT along with 98940
Yes, you can bill a 99213 with a modifier 25 and a 11721 when both services provided are distinct and necessary. The 99213 is an established patient office visit, while the 11721 involves the removal of a skin lesion. Ensure that documentation supports the medical necessity for both services on the same day to avoid potential denials. Always check with specific payer guidelines, as they may have unique requirements for billing these codes together.
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.
Tests level of 25 hydroxy vitamin D
Tests level of 25 hydroxy vitamin D
Need to bill with modifier 25
The Roman numerals "XXV" stand for the number 25.
Standard Operating Procedure was released on 04/25/2008.
What is the pin code for club fun 25?'
25