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Thread: Modifier 25 with 99385?

  1. #1
    Join Date
    Apr 2007
    Savannah, GA

    Default Modifier 25 with 99385?

    AAPC: Back to School
    I have a new pt that came in for an annual exam. Dr. performed an EKG screening. Do I have to append a mod 25?

  2. #2


    No modifier 25 needed.

    The description for your new well visit (99385) is as follows: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of appropriate immunization(s), laboratory/diagnostic procedures, new patient; 18-39 years

    So, your EKG is reported separately, no modifier on well visit.

  3. #3
    Join Date
    Apr 2007
    Savannah, GA


    Thank you!

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