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HCPCS Modifiers and E/M codes

Pgomez76

Contributor
Messages
19
Location
Orange, California
Best answers
0
Hello,

My mananger keeps on telling me that I should add a modifier to the office visit code for a procedure that was done on the patients LT Great Toe.

Example: 99212-TA

She is confusing me can someone help?:confused:
 

karilynn

Networker
Messages
27
Best answers
0
I have never heard of putting a modifier that indicates side, finger, or foot on an E&M. I do not believe this is correct use of those modifiers, they are intended for procedures. I just looked quickly in the book and I didn't see directions for the use of them but I looked on my Encoder and these modifiers do not apply to E&M codes according to that. I will keep looking for a more definate explanation.

Kari
 

kjstearns

Guru
Messages
127
Location
Seattle First Hill
Best answers
0
I think she is confused. If a procedure was done the same day as an E/M, you would add a -25 modifier to the E/M code and the -TA modifier on the procedure itself. Keep in mind that if the procedure was pre-planned, an E/M is not billable unless it is unrelated to the procedure.

~Kirsten, CPC
 
Last edited:

SARAVANANN

Guest
Messages
2
Best answers
0
Hi this is wrong .. 99212 only u use 25 mod and TA modifier use for Procedures codes 11041, 11719, 11720 ect....
 
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