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Thread: Modifer 25 - Is a

  1. #1
    Join Date
    Apr 2007

    Default Modifer 25 - Is a

    AAPC: Back to School
    Is a modifer 25 needed if a dr is billing 99215, 99353 and 99354 along with 99407

  2. #2


    Quote Originally Posted by lump2009 View Post
    Is a modifer 25 needed if a dr is billing 99215, 99353 and 99354 along with 99407
    I am not sure what you are coding. Is this a home visit? If so, then you need to check your codes, as 99353 is no longer a valid code. The highest code for an established patient home visit is 99350. If this is what you are asking then no modifier is necessary as 99354 is an add-on code. However, if you are coding 99215 along with 99350 or another home visit code, then -25 is necessary.

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