vaccinations & cpx or well check up

MsMaddy

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Hi Everyone,

Can modifier 25 be used when a pt comes in for cpx or well check up and
vaccination was given or injection was given. Can you apply mod 25 to the prevenative code?

example:
99392-prevenative
90715-td
90471-administration of inj

can this be done like this
99392-25
90715
90471

thank you
msmaddy
 

Lisa Bledsoe

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It shouldn't be required, but we have the same issue - if we don't append modifier -25 for most of the insurance carriers, then either the preventive code or the immunization administration is denied. It is unfortunate that insurance plans do not have to follow CPT guidelines.
 

MsMaddy

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mod 25 and cpx & immun

I haven't tried it yet, I did read it in one of the coding edge issue but I didn't
feel the infor was definit enough. So that's why I am asking if anyone knows
if that it is appliable.

thanks

msmaddy
 
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