AAPC - Back to school
Results 1 to 3 of 3

Thread: Modifer?

  1. #1
    Join Date
    Apr 2007

    Red face Modifer?

    AAPC: Back to School
    If a Medicare Part B patient was seen for a regular EM vist for hypertension and diabetes, plus a screening pap smear, plus skin surgery with electrocautery and destruction for an neoplasm unknown, what would be the best scenerio for billing this claim? The doctor did all of these procedures on the same day due to transportation problems for the patient.

    Would this be correct? :

    99213-25 401.9, 25002
    Q0091-59 V72.31
    G0101-59 V72.31
    17000-59 238.2

    Thanks, Ann::

  2. #2


    you don't need those 59s. These aren't bundled services.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    I agree but where did the 238.2 dx come from? This can be used only if the pathology indicates a neoplasm of uncertain behavior. I only ask because it is rare to see this documented by a physician and even more rare to perform a destruction for this dx.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Modifer LT
    By Hibbs in forum Modifiers
    Replies: 1
    Last Post: 11-23-2015, 09:07 AM
  2. 78 OR 79 modifer
    By churst21 in forum Modifiers
    Replies: 3
    Last Post: 10-19-2012, 07:08 PM
  3. Modifer JW
    By plainjane in forum Modifiers
    Replies: 0
    Last Post: 09-10-2012, 01:52 PM
  4. How do I know when I NEED a modifer?
    By codeforever in forum Modifiers
    Replies: 5
    Last Post: 06-21-2012, 03:21 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.