Results 1 to 3 of 3

Preventive and Sick Visit on same day

  1. #1
    Default Preventive and Sick Visit on same day
    Medical Coding Books
    when billing a preventive and sick e/m on the same visit i know the modifier 25 goes on the sick e/m but if there are vaccines as well does the modifier 25 go on both preventive and sick e/m code?

  2. Default
    Just the sick E/M.

    Chanel

  3. #3
    Location
    Milwaukee, WI
    Posts
    61
    Default CCI Edit
    You would need a modifier on both the E&M and the Prev Med visit. There are CCI edits that bundle both an E&M and/or a Prev Med visit into an immunization administration. If you only append the 25 modifier on one of those codes, the admin will bundle into the other when the claim is processed, if the payer is following the CCI edits.

    I hope this helps!
    Shelly L. Kubacki, MPA, CPC

Similar Threads

  1. Well Visit & Sick visit on the same day
    By CBC in forum Pediatrics
    Replies: 11
    Last Post: 08-27-2014, 02:18 PM
  2. Billing well visit & sick visit same day
    By lisamgoguen in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-13-2013, 02:39 PM
  3. obgyn preventive billing with sick visit
    By heyerflowers@gmail.com in forum E/M
    Replies: 0
    Last Post: 10-10-2012, 09:59 AM
  4. Preventive and sick visit question
    By NIEVESM in forum Family Practice
    Replies: 0
    Last Post: 08-10-2010, 04:39 PM
  5. Medicare Preventive vs Sick Visit
    By kamkole in forum Internal Medicine
    Replies: 2
    Last Post: 10-08-2008, 09:47 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.