HKOFOID
Networker
Hi! When you are billing for a preventive physical and an office visit at the same time, which code would you put the mod -25 on?
Thanks!
Thanks!
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Wiki Modifier 25 - When you are billing for a preventive
- Thread starter HKOFOID
- Start date
dmaec
True Blue
usually, they're coming in for their physical (first visit)- and then "oh yeah, I have these OTHER problems",(above and beyond).. so, documentation supporting of course, I'd code the preventive medicine visit FIRST
with whatever E/M level supported second, WITH the modifier .25 on it.
with whatever E/M level supported second, WITH the modifier .25 on it.
HKOFOID
Networker
That is what I thought, but I wasn't sure. I am still learning! Thank you!
dmaec
True Blue
you're welcome 
(btw, I had that same question back when I first started too)
(btw, I had that same question back when I first started too)
Preventive Medicine and modifier 25
I agree with the above and I also found this statement in an online search:
by their very nature, Preventive medicine services (99381-99429) are distinct and significant, separately identifiable services and do not require the use of modifier 25 when done with another service, e.g. acupuncture.
I agree with the above and I also found this statement in an online search:
by their very nature, Preventive medicine services (99381-99429) are distinct and significant, separately identifiable services and do not require the use of modifier 25 when done with another service, e.g. acupuncture.