AAPC - Back to school
Results 1 to 3 of 3

Thread: ? Modifiers 24 25

  1. #1
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire

    Default ? Modifiers 24 25

    AAPC: Back to School
    Pt came in 3/2 had lesion removed. Came back 3/11 to have discussion of multiple AK w/rx for topical cream, LBP w/otc ibupropen, low HDL w/rx niacin. A physicial was also done at this visit. Sutures were not removed at this visit. Is it appropriate to use 24 on both 99214 and 99396, or 24 on the 214 and 25 on the 396. Thanks in advance for your help.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    first, I guess I'd be pretty leery about coding a physical AND a level 4 E/M! however, IF documenetation supports both services (if they stand alone on documentation)... You'd need a .24.25 modifier on the 99214 - and a .24 modifier on the preventive code. (at least that's the way I'd append the modifiers).

    i am curious on the documentation though, especially given the fact that they were in a few days before for lesion removal (I would have assumed the AK was reviewed then as well) but then again, I know what happens when one "assumes"
    Last edited by dmaec; 04-13-2009 at 12:31 PM. Reason: typo....
    Donna, CPC, CPC-H

  3. #3
    Join Date
    Apr 2007
    orange, ca


    I AGREE... I would only code either the 99214 -24,-25 or 99396-24 UNLESS documentation can support the e/m as a separate/additional service.

Similar Threads

  1. Modifiers
    By ryleequigley@yahoo.com in forum General Discussion
    Replies: 2
    Last Post: 03-17-2015, 09:51 AM
  2. Two Modifiers, Which goes first
    By Candice_Fenildo in forum Modifiers
    Replies: 3
    Last Post: 12-27-2013, 03:11 PM
  3. Modifiers -51 and -25
    By hthompson in forum Modifiers
    Replies: 5
    Last Post: 11-02-2011, 12:11 PM
  4. Q modifiers
    By PLAIDMAN in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-27-2010, 05:01 AM
  5. IR modifiers
    By carriebeth in forum Interventional Radiology
    Replies: 1
    Last Post: 06-11-2009, 11:44 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?


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.