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The modifier commonly used for CPT code 99391, which refers to a preventive medicine evaluation and management visit for a new patient, is often modifier 25. This modifier indicates that a significant, separately identifiable evaluation and management service was performed on the same day as another service. However, the specific modifier to use can vary based on the context of the visit and the services provided, so it's essential to consult payer guidelines for accurate billing.

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2w ago

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What is modifier -26?

Modifier 26 indicate the professional component of a procedure in Current Procedural Terminology (CPT), which is used for medical billing.


What modifier is used with add on codes?

The modifier commonly used with add-on codes is Modifier 51. This modifier indicates that multiple procedures are being performed during the same session, with one primary procedure and additional secondary procedures identified by the add-on codes. However, it's important to note that add-on codes themselves should not be reported with Modifier 51, as they are inherently understood to be additional procedures. Instead, the primary procedure should be marked with Modifier 51 if necessary.


Is there a modifier needed for G0127?

Yes, G0127, which is used for the screening for colorectal cancer, typically requires the use of a modifier to indicate the patient's status or the specific circumstances of the service. The most common modifier used with G0127 is the modifier 33, which signifies that the service is preventive. However, it's important to check specific payer guidelines, as requirements may vary.


Insurier requires a presurgical second opinion what is the modifier?

The appropriate modifier for a presurgical second opinion is typically Modifier 32. This modifier is used to indicate that the service provided is a mandated consultation, which in this case is required by the insurer before proceeding with surgery. It helps communicate to payers that the consultation was requested for insurance purposes.


What is a tc modifier?

A technical component modifier.