gherimicheleCPC
Guest
Does anyone know if I use a 25 MODIFIER on G0439 since our doctor did a procedure with the wellness visit. Would it be a G0439-25 with 11200? Appreciate the help!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Modifier 25 with G Code
- Thread starter gherimicheleCPC
- Start date
Modifier 25 is meant to be attached for E/M visits only . Moreover, 25 is a CPT modifier and not a HCPCS modifier
gherimicheleCPC
Guest
G0439 is an exam not a HCPCS it is a medicare wellness exam but thanks anyways!
bdeb616
Contributor
I am new to this field having graduated in June and passed the CPC exam in May. I have been employed as the biller/coder at an internal medicine practitioner since March. I just read an article that stated you can code both the MR Annual Wellness visit and also code for an E/M with modifer 25 attached to the E/M making sure the documentation will hold up to both codes. I just coded two such office visits yesterday and will see what happens. Since I am fresh out of school and new to this field I am charging for things the other coder/biller didn't and finding ways to get paid for services that she would write off as unpayable by the payor.
inc1961
Guest
It is my understanding that no Modifier 25 should be associated with the G code for Medicare.
Amandamalli
Guest
You can apply 25 to the G codes if a procedure is done such as removal for impacted cerumen , and the office visit G code example G0463 ( Hospital outpatient clinic visit) the office visit was done and he had impacted cerumen removal with curette. cpt 69210, you would add modifier 25 to the G code
kristinfoster10
Guest
G0439 is a HCPC code, it is not a CPT code, therefore it cannot be paired w/ a CPT modifier.