DSANDERS1
New
I would love some help! If you have 99397,99214 and 17110 what modifiers would you use and where?
Thank you
Thank you
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Mod
- Thread starter DSANDERS1
- Start date
ollielooya
True Blue
It ALL depends if documentation supports billing all the above. 99214-25, 99397, and 17110. One insurance company in particular I know wants the modifier 25 on both the problem focused visit and the preventive, but that seems so wrong. Hopefully you have enough documentation to support adding the modifier 25 as well. These are just general thoughts. Might want to post the full chart note if you have one to get a more definitive answer. Are you a student or a working professional?
mitchellde
True Blue
A 99214 plus a preventive and a procedure is a highly intensive encounter. You must have documentation that supports all of the elements of the preventive without duplication of any of those elements for the 99214. And the 99214 must be separately identifiable from the procedure. This patient would have been face to face with the provider for a long time.
DSANDERS1
New
There is documentation to support all codes I just thought I should put a mod 51 on the 17110 and a 25 on the 99213 is that correct?
Last edited:
espressoguy
Guest
You don't need the 51 on the 17110 as it is the only procedure.