E&M, Wellness visit and Spirometry same visit

cmcguire@acmdocs.com

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Alpharetta, GA
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We have had several patients coming in for their physical exam, they also have some issues outside the PE and an E& M is billed with modifier 25. Also, the physician does a spirometry (94010) for asthma, and the wellness is getting denied. The 94010 has modifier 59, the e&m has -25. Is there any suggestion on how to bill all three on the same day of service correctly. I have even added the modifier 33 on the physical exam and still being denied. Any suggestions would be appreciated.
 
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