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HCPCS Modifiers and E/M codes

  1. #1
    Orange, California
    Unhappy HCPCS Modifiers and E/M codes
    Medical Coding Books

    My mananger keeps on telling me that I should add a modifier to the office visit code for a procedure that was done on the patients LT Great Toe.

    Example: 99212-TA

    She is confusing me can someone help?

  2. #2
    Yes, that is correct. the modifier TA denotes left foot, great toe.

  3. Default
    why would you use that on a office visit?

  4. #4
    I have never heard of putting a modifier that indicates side, finger, or foot on an E&M. I do not believe this is correct use of those modifiers, they are intended for procedures. I just looked quickly in the book and I didn't see directions for the use of them but I looked on my Encoder and these modifiers do not apply to E&M codes according to that. I will keep looking for a more definate explanation.


  5. Default
    i agree, i dont think they are for office visits

  6. #6
    Seattle First Hill
    I think she is confused. If a procedure was done the same day as an E/M, you would add a -25 modifier to the E/M code and the -TA modifier on the procedure itself. Keep in mind that if the procedure was pre-planned, an E/M is not billable unless it is unrelated to the procedure.

    ~Kirsten, CPC
    Last edited by kjstearns; 11-13-2009 at 02:25 PM.

  7. #7
    Orange, California
    Default Thank you!!!
    Thanks everyone; I really appreciate your help....Have a great weekend!!!

  8. Thumbs up
    Hi this is wrong .. 99212 only u use 25 mod and TA modifier use for Procedures codes 11041, 11719, 11720 ect....

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