Question CPT 99497 and correct modifier

[ymajestic04@gmail.com]

Our office usually bills a 99497-33 when doing a G0439 but occasionally a 99497 will come up during a regular outpatient visit. My question is, should I use a different modifier if I am billing it with, for example, a 99214? Thanks for the help.

 

[natashalage]

Hi, I am not an expert. I file E/M with 99497/8 without modifier. Per Encoder 'These codes may be reported separately when performed on the same day as another E/M service. Use 99498 in addition to 99497. These codes may be reported in addition to the following E/M codes when performed on the same date of service: 98000-98016, 99202-99215, 99221-99223, 99231-99236, 99238-99239, 99242-99245, 99252-99255, 99281-99285, 99304-99310, 99315-99316, 99341-99345, 99347-99350, 99381-99397, and 99495-99496. Do not report these codes when reporting 99291-99292, 99468-99469, 99471-99472, 99475-99480, or 99483 on the same date of service. ...Medicare and the CPT codebook have identified these codes as telehealth/telemedicine services that may also be audio only services. Telemedicine services may be reported by the performing provider by adding modifier 93 or 95 to these procedure codes and using the appropriate place of service (POS) indicator: POS 02 for telehealth when the originating site is not the patient’s home and POS 10 for telehealth services when the originating site is the patient’s home. "