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Wellness / Immunizations - 99391-99397. - learning billing

BethUnkel

Networker
Local Chapter Officer
Messages
26
Best answers
0
I am currently cleaning up billing issues from the previous biller and learning billing. I am trying to understand and make sure we are doing this correctly. When we bill out for a Wellness exam with Imm. We use the Preventive codes 99391-99397, and admin code 90471 and then the immunization code. We are putting a modifier 25 on the preventive code. Is this correct? Should we be using a different modifier?
Ex :
99392(mod 25)
90471
90713
90472
90701
90715
 

CDREVERS

Contributor
Messages
13
Location
Holland, Michigan
Best answers
0
A 25 modifier on the E/M is correct. Most payers have edits for preventative or E/M with administration. Make sure to watch the type of administration. There are separate administration codes for immunizations given intranasal or oral.
 
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