CPT code 99283, which is used for an emergency department visit for a patient with a moderate level of severity, does not inherently require a modifier for proper billing. However, a modifier may be necessary in certain circumstances, such as when billing for services provided in conjunction with another procedure or to indicate a specific situation like a repeat visit. It’s essential to review payer-specific guidelines to determine if a modifier is needed in your particular case.
yes
99283?
Its refer to modifier 63, the instruction is to not report modifier 63 in conjunction with CPT code 65820.
what modifier do i use for 96374
The 25 modifier is typically added to the evaluation and management (E/M) service code that is billed separately when a procedure or service is performed on the same day. In this case, if both 99283 (Emergency department visit, low to moderate severity) and 99213 (Office or other outpatient visit, established patient) are billed, the 25 modifier is generally added to the code that represents the more comprehensive service. If both codes are necessary, ensure that the documentation supports the medical necessity for each service.
25
is it 59
Code the IUD removal CPT with a -53 modifier.
CPT code 44120 with modifier -52.
Its refer to modifier 63, the instruction is to not report modifier 63 in conjunction with CPT code 65820.
distinct procedural servise
25