AAPC - Back to school
Results 1 to 4 of 4

Thread: Modifier Question

  1. #1
    Join Date
    Apr 2007

    Default Modifier Question

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Kansas City, MO


    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
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007
    Mission Hills, Ca


    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.

Similar Threads

  1. 51 Modifier Question
    By yolwil in forum Anesthesia
    Replies: 6
    Last Post: 05-27-2015, 12:08 PM
  2. modifier 51 question - I work in dermatology
    By mjl903 in forum Modifiers
    Replies: 4
    Last Post: 12-19-2012, 10:01 AM
  3. Modifier 78 Question - A patient is in the hospital
    By MichelleAKing in forum Modifiers
    Replies: 0
    Last Post: 10-14-2010, 04:13 PM
  4. Modifier 26 Question
    By mmelcam in forum General Surgery
    Replies: 3
    Last Post: 05-19-2010, 04:37 PM
  5. Modifier 52 question
    By Yarbs in forum Modifiers
    Replies: 2
    Last Post: 10-30-2008, 05:52 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.