Wiki If you are coding a Pediatric Well visit 99392 and you also do a vision a 3yr old occular vision screen 99174, do you only apply the -59 on 99174?

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If we are doing a Pediatric's Wll visit 99392 and we also do a 3yr old ocular vision screen 99174, do you only apply the -59 modifier? Has something changed and you also need to add the -25 modier to the 99392?
 
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If a payer requires a modifier, 25 would be more appropriate because you have an E/M service (99392) and a non-E/M service (99174). If you get a denial, it is important to look first at the payer's policy for the service and determine if the individual health plan has some specific coverage or billing requirement. Some plans do bundle all of the vision screening codes and a modifier does not override the edit. However, other plans do pay for 99173, 99174, or 99177 in addition to the preventive medicine service (age limits apply).

Not really an answer to your question but I hope it points you in the right direction to find the answer.
Cindy
 
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