Wiki Use of Modifier 25 with a preventive visit that also has an E&M and an injection

melvjj

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If I have a preventive visit e.g. 99397 and the visit also meets the criteria for an E&M e.g 99212 I know that I need to put modifier 25 on the E&M, but if I also have immunizations do I also put modifier 25 on the preventive visit?
 
If I have a preventive visit e.g. 99397 and the visit also meets the criteria for an E&M e.g 99212 I know that I need to put modifier 25 on the E&M, but if I also have immunizations do I also put modifier 25 on the preventive visit?

No, you would not append modifier 25 to the preventive visit.
 
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