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Thread: modifier -25

  1. #1
    Join Date
    Apr 2007

    Default modifier -25

    AAPC: Back to School
    I have a question, My understanding about billing preventive visit with E/M visits and other procedures (e.g. 17000 or 20610) only the E/M needs the modifier -25.. but lately my supervisor has been telling me to add modifier -25 to preventive visits as well because they are bundling with the procedure code.. need help and clarification..

    Thank you,

  2. #2
    Join Date
    Apr 2007


    Your supervisor is correct. The preventive codes 99381-99397 are still considered E/M codes.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  3. #3
    Join Date
    Apr 2007


    Thank you..

  4. #4
    Join Date
    Apr 2007
    Coastal Coders


    Please keep us posted when you receive some EOB's after doing this.
    I am really interested in knowing how something like 99213-25/99397-25/17000 pays.
    I would think the -25 on the 213 with your dx codes applied accordingly would suffice.

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