Results 1 to 5 of 5

Modifiers for 2 office visits same day

  1. #1
    Cool Modifiers for 2 office visits same day
    Clearnace Sale
    When a patient returns to the office later in the day, see's a different physician for a different issue do I use the 59 or 77 modifier on the 2nd E/M CPT?

  2. Default Modifiers for 2 ov same day
    It is my understanding and our practice as mutli specialty providers that we would not use a modifier. The providers NPI's will reflect their specialties. A mod 77 states that the pt is seeing a different provider but for a repeat procedure and this would not be the case if a pt was coming in to see an allergist and then seeing infectious disease later in the day. A mod 59, again, is related to procedures and these are not procedures but E&M's. We do a bit of calling to ins co to have them correct the inproper dup denials but it is a clean claim with no modifier attached.
    hope that helps

  3. #3
    Greeley, Colorado
    Different provider/different problem = modifier -25. (physicians in the same group practice of the same specialty are considered to be the same physician).
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Yes modifier 25 would be the correct one to use.
    Herbie W Lorona Jr., CPC, CPC-H

  5. #5
    Columbia, MO
    25 is right, neither 59 nor 77 can be used with an E&M code.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. 2 office visits on same day
    By cbowman1 in forum E/M
    Replies: 21
    Last Post: 03-11-2015, 04:11 PM
  2. Replies: 0
    Last Post: 09-12-2014, 11:33 AM
  3. Replies: 2
    Last Post: 09-15-2010, 01:57 PM
  4. Billing 2 office visits on the same day
    By adspann in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-14-2010, 01:00 PM
  5. Billing 2 office visits on the same day
    By adspann in forum Family Practice
    Replies: 2
    Last Post: 09-14-2010, 12:24 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?


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.