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Modifiers for 2 office visits same day

JSimpson

Contributor
Messages
15
Best answers
0
:confused:When a patient returns to the office later in the day, see's a different physician for a different issue do I use the 59 or 77 modifier on the 2nd E/M CPT?
 

Sabrina

New
Messages
4
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0
Modifiers for 2 ov same day

It is my understanding and our practice as mutli specialty providers that we would not use a modifier. The providers NPI's will reflect their specialties. A mod 77 states that the pt is seeing a different provider but for a repeat procedure and this would not be the case if a pt was coming in to see an allergist and then seeing infectious disease later in the day. A mod 59, again, is related to procedures and these are not procedures but E&M's. We do a bit of calling to ins co to have them correct the inproper dup denials but it is a clean claim with no modifier attached.
hope that helps
 

Lisa Bledsoe

True Blue
Messages
2,045
Location
Greeley, Colorado
Best answers
0
Different provider/different problem = modifier -25. (physicians in the same group practice of the same specialty are considered to be the same physician).
 
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