Results 1 to 5 of 5

Modifier 25 question

  1. #1
    Default Modifier 25 question
    Medical Coding Books
    If a patient comes in for a post-op check up and has an injection given in the post-op site, where would you put the mod.25 since 99024 is a zero charge and will not print out on a claim? All input is apprieciated!

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    you wouldnt use the 25 modifier. Use the appropriate injection code with either the 58/78/79 modifiers as appropriate.

  3. #3
    Default
    The patient was seen in the office not returning to the operating room nor was it a staged procedure.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default -79 unrelated procedure OR service
    Modifier -79 is for "Unrelated Procedure or Service by the Same Physician During the Postoperative Period"
    If you read the description in Appendix A of CPT there is no mention made of returning to the OR.

    So, if the injection is unrelated, mod -79 would be appropriate.

    F Tessa Bartels, CPC

  5. Default
    don't forget that related services to the original procedure, or determined to be a complication of the original procedure, (within the post-op period) are bundled into the first surgical procedure. You can get more global surgical information on the Medicare Physician's web site under internet manuals, Claims Processing 100-4, chapter 12, section 40 I believe. Or check the NCCI policy manual as well.

    MC: http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

    NCCI: http://www.cms.hhs.gov/NationalCorre....asp#TopOfPage

Similar Threads

  1. 51 Modifier Question
    By yolwil in forum Anesthesia
    Replies: 6
    Last Post: 05-27-2015, 01:08 PM
  2. modifier 51 question - I work in dermatology
    By mjl903 in forum Modifiers
    Replies: 4
    Last Post: 12-19-2012, 11:01 AM
  3. Modifier 78 Question - A patient is in the hospital
    By MichelleAKing in forum Modifiers
    Replies: 0
    Last Post: 10-14-2010, 05:13 PM
  4. Modifier 26 Question
    By mmelcam in forum General Surgery
    Replies: 3
    Last Post: 05-19-2010, 05:37 PM
  5. Modifier 52 question
    By Yarbs in forum Modifiers
    Replies: 2
    Last Post: 10-30-2008, 06:52 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?

Login

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.