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  1. #1
    Default PregnancyTest
    Medical Coding Books
    Patient came with GI problems and potential pregnancy symptoms. 81025(pregnancy test) was done. Had 99213 visit. Should we put -25 on the E&M?

    Thanks in advance.

  2. #2
    Newport News
    No you dont need a modifier for the preg test
    Melissa Ervin CPC

  3. #3
    Thanks so much. could you please explain why?

  4. Default
    The 99213 and the 81025 don't bundle per CCI so you don't need a modifier but more info is needed. Is the prime dx for the GI issue or the pregnancy?? Actually I don't think it matters either way as long as one of the dx's for the office visit is related to testing for pregnancy

  5. #5
    Thank you. Appreciate your help.

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