Wiki Would you use mod 25 or 59

[tvaughn]

When reporting codes 99204 and 96103, would you use modifier -25 or -59? for non-medicare and medicare cases...

 

[syllingk]

if they are both reportable. I would use the -59 since the modifier has to go on the 96103 and that seems to me to fit better since it isn't an evaluation and management service in my mind and that is what the -25 says. What does everyone else think?

 

[JudyW]

On Medicare patients I would use XS if using 59 on Non-Medicare carriers

 

[philipwells]

Would it be XU vs XS? Unusual Non-Overlapping Service vs. Separate Structure?

Thanks!