Wiki Question on Modifier placement and sequencing...

[Coder_Rick]

I am a new coder working for a orthopedic practice. A new and somewhat frustrating adventure!

When coding a office visit ex. 99213, with another service performed, ex. 99407, (smoking cessation) to which should I apply mod 25? The 99213 or / 99407?

Also which would be the proper sequencing order, the 99213 first or the 20610 (aspiration ,injection) / 99407?

Thanks

 

[kimmyrummer@hotmail.com]

Modifier placement & sequencing

Rick,
You would put the 25 mod on the 99213.
The sequence would be the 99213-25 then the 20610 (aspiration).
Hope this helps.
Kimberly

 

[biller007]

99213 w/ 25, then 20610, then 99407, i would add a 59 modifier to smoking cessation, otherwise some insurance companies will include w/ your 20610. Im a biller, this is based on experience w/ different payors.

99213 25
20610
99407 59

Hope that helps,

Amber

 

[Coder_Rick]

Thank you both for the info!