Billing 97001 & 96111 together

Messages
8
Best answers
0
What modifier do I need to add in billing 97001 & 96111 together?

97001 25
96111

or
97001
96111 59

Thank you for any help!
 

ginaCW

New
Messages
9
Best answers
0
hello

25 is Used for E/M...you could read the Report and Identify what exactly the doctor did..:)
 

honeybee

Networker
Messages
54
Best answers
0
It appears to be bundled per CCI chart and 97001 is the column 2 code so the 59 should be appened to that code. The 25 is only for E/M so this doesn't apply to either code.
 
Last edited:

deb9645

Contributor
Messages
12
Location
Peoria, AZ
Best answers
0
I work in a wellness center and when we bill 98940 with a 97110 modifier 59 attached we will get paid on the 98940 but they include the 97110 as all-inclusive. in
 
Top