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Modifier 25

C

cperk

Networker
Messages
31
Location
La mesa, CA
This is a recent subject of debate in my office. A NEW patient is seen for a preventive visit. 99381. A significant and separately identifiable issue is addressed. Would you a new or established patient code in instance for the modifier? Does the number of key elements affect whether or not it would be new or not?
 
For the seperate identifiable issue, an established E/M can be used. The number of elements does not determine new or established code selection. The number of elements will help in determining E/M level chosen. You can apply mod 25 to that established E/M code.
 
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