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Thread: modifier Question

  1. #1
    Join Date
    Apr 2007
    South Salt Lake City

    Default modifier Question

    AAPC: Back to School
    If I have a PE, E/M and Procedure on one Visit. I would put a 25 Modifier on the E/M but does the procedure need a modifier and if so what one?
    Jody Thompson, CPC

  2. #2
    Join Date
    Apr 2007


    No. To give an example, this how it would apply

    CPT 99396
    CPT 9921X. 25
    CPT 17110

    No modifier needed on the procedure, unless multiple procedure come in to play.

    Daniel, CPC

  3. #3
    Join Date
    Apr 2007


    In this case you need a 25 on both E/M codes.


    The 99396 will bundle into the procedure without the modifier on it.

    Laura, CPC, CEMC

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