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Thread: Modifiers for 2 office visits same day

  1. #1
    Join Date
    Apr 2007

    Cool Modifiers for 2 office visits same day

    AAPC: Back to School
    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. #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
    Join Date
    Apr 2007
    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
    Join Date
    Apr 2007


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

  5. #5
    Join Date
    Apr 2007
    Columbia, MO


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

    Debra A. Mitchell, MSPH, CPC-H

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