25
what modifier do i use for 96374
25
CPT medicine code 90772 has been deleted. CPT instructs to use code 96372 which is used for a: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.
what is the modifier to use w/procedure code 93306
Yes, you should use a modifier 59 on the 96372 if it represents a separate and distinct service from the evaluation and management (E/M) service coded as 99213 and the J3301 injection. The 59 modifier indicates that the procedure performed is not typically encountered or performed on the same day as the other service, thus justifying separate billing. Always ensure proper documentation supports the use of the modifier.
When billing CPT 96372 (Therapeutic, prophylactic, or diagnostic injection) and 90837 (Psychotherapy, 60 minutes with patient), you should use modifier 25 on the psychotherapy code (90837) to indicate that the psychotherapy service is a separate and significant service from the injection administered on the same day. Additionally, ensure that the documentation supports the medical necessity and distinct nature of both services. It's also essential to check specific payer guidelines, as they may have additional requirements for billing these codes together.
For CPT code 94640 (inhalation treatment for asthma or COPD), you typically do not need a modifier unless there are specific circumstances requiring one. For J7611 (albuterol sulfate for inhalation), you may use modifier -59 to indicate a distinct procedural service if it is administered separately from other services. Always refer to current payer guidelines for specific modifier requirements.
no
For CPT code 59510 (Vaginal delivery after previous cesarean delivery) and CPT code 58611 (Laparoscopy, surgical, ablation of the endometrium), the appropriate modifier to use is modifier 51 (Multiple procedures). This modifier indicates that multiple procedures were performed during the same session, which may affect reimbursement. However, it's essential to verify with specific payer guidelines, as they may have different requirements.
Modifier -51 is used to indicate that multiple procedures were performed during the same session, but it is not typically applied to CPT code 59409, which is used for global obstetric care. Instead, modifier -51 is generally used for additional surgical procedures. Always check the specific guidelines and payer policies for proper modifier use in your context.
You can use modifier 32 for mandated service.