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Thread: New Patient visit & Procedure

  1. #1

    Default New Patient visit & Procedure

    AAPC: Back to School
    Will you get reimbursed if you bill a New Patient visit (99202-99205)and a procedure with the same diagnosis with a modifier 25?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    put the 25 on the E&M and you are good. It should reimburse fine but if not be prepared to appeal.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    Yes. Just put the 25 modifier on the E&M and you will get paid. I occasionally have to do appeals with a couple of the Medicare replacement plans but by sending office notes in with appeal I have always ended up getting paid.
    Brenda E., CPC

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