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
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