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Modifier Question

  1. #1
    Default Modifier Question
    Exam Training Packages
    I work for a family practice and frequently my docs will see a patient for a physical as well as a ton of other things at the same visit. If I have a patient that has a 99397, 99212, and a 17110, what modifier do I need to use on the 17110? Thanks a bunch for your help.

  2. #2
    Location
    Kansas City, MO
    Posts
    431
    Default
    You'll need a 25 on the 99212, but that should be it. That should stop bundling from the OV into the well visit, and the OV into the procedure.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Default
    That is what I normally do, then they are denying the removal procedure as incidental to another procedure. I also make sure that all of the diagnosis pointers are correct before I file.

  4. #4
    Default
    We do that as well but make sure there is a different dx linked to the procedure. Many carriers will not pay for a preventative and problem focused visit on same date of service no matter what modifier you use. if anyone has found a way to appeal these I'd appreciate knowing how.

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