Wiki Billing for End of Life Discussion with an office visit

[Nettie1113]

We have billed in the past for an office visit of 99215-25(modifier) and 99497-59; 99498-59. Response on the EOL codes was "The procedure code is inconsistent with the modifier used or a required modifier is missing". We are IM office so, generally, we only use minimal modifiers to begin with. Any information would be fabulous!!

 

[brios82]

The modifier on 99497 and 99498 are not needed. The -25 on the e&m code is enough for the 99497, and the 99498 is an add on so it will never need a modifier. Some have said they need modifier -33 on the 99497 (indicates preventative) but I haven't needed to. Hope that helps!