Results 1 to 3 of 3

Modifier 25 with 59

  1. #1
    Default Modifier 25 with 59
    Medical Coding Books
    If a patient is getting a IV therapeutic as well as a E/M code is it appropriate to use a mod 25 on the 99212-99215 with the 96365 appending mod 59?

    99212-25
    96365-59

    This seems incorrect to me, but I need to be sure.

    Thank you for your time and HAPPY CODING

  2. #2
    Default
    I wouldn't use 59 because the 25 modifier is already demonstrating it is a seperate, identifiable procedure... no need for 59.

  3. #3
    Location
    Austin, Texas
    Posts
    12
    Default
    Quote Originally Posted by maitri1970 View Post
    If a patient is getting a IV therapeutic as well as a E/M code is it appropriate to use a mod 25 on the 99212-99215 with the 96365 appending mod 59?

    99212-25
    96365-59

    This seems incorrect to me, but I need to be sure.

    Thank you for your time and HAPPY CODING
    You would not use the 59 on the 96365 just the 25 on the level, but if you had 96365 and any other IVPD, IVP or hydration after the intial IVPB then you would us mod. 59 to show it was another distinct procedure.

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

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.