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-25 question

  1. #1
    Moore Oklahoma
    Question -25 question
    Medical Coding Books
    I have situations where I have a patient see 2 providers in my clinic on the same day but at different times. One visit is with our PA in the morning for gyn/pap and the other visit is later in the day with thier PCP for issues such as HTN or DM etc. My PCP bills an E/M such as 99213 my PA will bill the Preventative exam such as 99396. My question is - is it appropriate to attach a -25 to the PCP visit or does each visit stand alone?


  2. #2
    North Carolina
    I would add the modifier to 99213. Expect a denial (probably) and then appeal.
    Rebecca CPC, CPMA, CEMC

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