AAPC - Back to school
Results 1 to 3 of 3

Thread: I work for an internist

  1. #1
    Join Date
    Apr 2007
    Savannah, GA

    Default I work for an internist

    AAPC: Back to School
    Can someone please help with modifiers. I work for an internist who will see a patient, perform an ekg, administer a flu shot, and do some labs such as 81003 in the office all in the same visit. I know that I am supposed to use a modifier 25 for the e&m code and I have properly linked the icd9's to the cpts. Am I supposed to be using modifier 59 as well?

  2. #2
    Join Date
    Apr 2007


    Depending on your carrier rules, I would use a 25 modifier on the office visit when an injection is done at the same visit as an E/M.
    I don't think you'd need to use a 59 modifier because "modifier 59 is used to identify procedures or cervices other than E/M services, that are not normally reported together..." (CPT professional edition)
    Labs and EKGs are often times done with an E/M, so there isn't a need for a 59 modifier.
    This is just my two cents
    Carrie, BS, CPC

  3. #3


    no modifier for flu vac /lab/ekg /e&m. When you get beyond these things, you need to look at modifiers/
    if you did other procedure like ear lavage, you need modifier 25 on the E&M only. No modifer for E&M with EKG, routine lab testing, administration injection, etc.
    59 added to the second + procedures, lets the carrier know that you have provided separate procedures = more than one on the same day. The first procedure does not have the modifier.

Similar Threads

  1. Replies: 1
    Last Post: 08-17-2016, 03:42 PM
  2. Mental Health Hospital Visits by Internist
    By SANEAST in forum Behavioral Health
    Replies: 0
    Last Post: 12-18-2013, 02:51 PM
  3. Replies: 2
    Last Post: 04-27-2011, 03:57 PM
  4. Internist vs Family Practitioner billing
    By NIEVESM in forum Family Practice
    Replies: 0
    Last Post: 11-02-2010, 07:57 AM
  5. Internist doing surgery clearances
    By penny48 in forum General Surgery
    Replies: 0
    Last Post: 04-28-2010, 12:44 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.