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modifer -25

E
Wiki Child Well Visit with Sick Visit

We have sent several claims to the insurance since they do not pay us for the child well visit along with the sick visit which they do. We have used the modifier 25 alone, then only AM and finally 25 and AM together in CPT 99391 but the insurance still continues to deny preventive child care...
- elizabethsalinas1805@gmail.com
- Thread
- Mar 4, 2024
- modifer -25 modifer am preventive child
- Replies: 5
- Forum: Modifiers
L
Wiki Modifier 25 , E/M with minor procedure

I thought I would get people's thoughts on adding an E/M to a minor procedure (cysto). I keep going back and forth on what would be correct. Pt comes in for scheduled Cysto due to BPH luts, they are able to determine severity of enlargement and after the procedure they discuss possible options...
- LAT93
- Thread
- Sep 18, 2023
- e/m modifer -25 poem urology coding
- Replies: 5
- Forum: Medical Coding General Discussion
P
Wiki Initial Prescription of OCPs following a IUD removal

Our provider sees a patient for an IUD removal. On the same day, provider started oral contraceptives. Is it appropriate to bill a separate E/M code for this reason? Appending modifier -25 to this E/M code. Appreciate the reponse!
- ppaule
- Thread
- Jul 5, 2023
- e/m codes family planning modifer -25
- Replies: 2
- Forum: Auditing General Discussion

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