Question: Tennessee Subscriber Answer: • 30903 (Control nasal hemorrhage, anterior, complex [extensive cautery and/or packing] any method) for the repair; • modifier 50 (Bilateral procedure) appended to 30903 to show that the physician treated both nostrils; • 99214 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; and medical decision making of moderate complexity ...) for the E/M; • modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) appended to 99214 to show that the E/M and repair were separate services; • 784.7 (Epistaxis) appended to 30903 and 99214 to represent the patient's nosebleed; • E917.0 (Striking against or struck accidentally by objects or persons; in sports without subsequent fall) appended to 30903 and 99214 to represent the cause of the patient's nosebleed; and • E007.5 (Activities involving other sports and athletics played as a team or group; soccer) appended to 30903 and 99214 to represent the circumstances surrounding the patient's nosebleed.