Wiki Modifier 25 on Preventive Visits

[JCampbell]

Hi Everyone,

We have recently been told by one of our payors that we can add a 25 modifier to a preventive visit code when also billing G0101 and Q0091. Has anyone else ever had this situation?

Thanks for any help that you may be able to provide.

 

[lgardner]

yes.

we have added a -25 to a preventive visit code when another separate procedure has been done.

preventive visit codes do fall under the E/M category.