E/M, Preventative, Injection

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Billings, MT
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Hello everyone,

I am curious as to whether or not the following is correct. I coded...
99204-25
99386-25
90471
90656
I have a fellow coworker who is a biller questioning as to why I added the -25 to the office visit as well as to the preventative. I told her I added the -25 to the office visit to separate it from the preventative. As well as added the -25 to the preventative to separate it from the injection. She is thinking this is incorrect. I have done some research and couldn't find any definitive answers as to why both the E/M and the annual get -25 modifiers when there is an injection on the claim as well. I am just trying to find a resource that explains this. If anyone has any info it would be greatly appreciated.

Thank you
 
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