• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki advanced care planning and modifier 25

Create Wiki
L

leastratton1001

Guest
Messages
19
Location
McComb, OH
Best answers
0
Do you append modifier to both codes when patient has advanced care planning? For example 99350 being coded along with 99497- would we append 25 to both of those CPT codes?
 
Hello,

I found the following from CMS on Advance Care Planning:
These codes may be separately reported when performed on the same date of service in conjunction with the following E/M services: 99201-99215, 99217-99226, 99231-99236, 99238-99239, 99241-99245, 99251-99255, 99281-99285, 99304-99310, 99315-99316, 99318, 99324-99328, 99334-99337, 99341-99345, 99347-99350, 99381-99397, and 99495-99496. Both codes should be reported with modifier-25 added presuming the requirements for use of modifier-25 are met.
Click to expand...
It's possible it varies by payor.
 
You must log in or register to reply here.
Top