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99354 need modifier?

  1. #1
    Default 99354 need modifier?
    Medical Coding Books
    The E/M has a 25 modifier attached... Is a modifier needed on a prolonged visit(799354) when there are other services provided (Q0091)?

  2. #2
    I'm curious as to your scenario.

    You wouldn't have prolonged care in connection with a well care visit.

    Can you give more of an example?

    Laura, CPC, CEMC

  3. #3
    There is no well care visit charged just the E/M (99215/25), Prolonged service (99354) and Pap Q0091.

  4. #4
    The collection of a pap in a problem visit is generally included. The conveyance of specimen isn't, so you would use 99000 instead of Q0091.

    I guess I'm having a hard time understanding your situation. What is the patient being seen for?

    Laura, CPC, CEMC

  5. #5
    Columbia, MO
    I agree a level 5 plus prolonged time is a very intensive encounter, this would indicate a minimum of 70 minutes face to face physician to patient time. I too am interested in more information.

    Debra A. Mitchell, MSPH, CPC-H

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