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Pulmonology Coding Alert

Reader Question:

Don't Bill 99214-25 and 71010 Together

Published on Mon Oct 13, 2003

Question: Recently our carrier rejected my claim for 99214-25 and 71010. What did I do wrong?

Georgia Subscriber Answer: Never append modifier -25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to an E/M code, such as 99214 (Office visit ... established patient), when the only other codes for that claim represent ancillary services like x-rays (71010, Radiologic examination, chest; single view, frontal).
 
 - Answers for You Be the Coder and Reader Questions were reviewed by Anthony M. Marinelli, MD, FCCP, chairman of the American Thoracic Society's Clinical Practice Committee.
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