HavaTwo
Contributor
A patient and his mother presented for a well child exam with immunizations. His mother also stated that the patient had fallen from his skateboard the night before, and his right knee was bruised and swollen. Patient was noticeably limping when he entered the exam room. Doctor performed the well child exam, but had a separate physical for the right knee which documented the bruising and swelling. Doctor ordered an x-ray of the knee, which was negative, and prescribed ibuprofen. Patient was given a knee brace and crutches, and was advised RICE. Patient was also given HPV, Gardasil and DTaP vaccines. My codes:
99394
99213
90471
90472(2)
90734
90749
90715
My question is in regards to the modifiers. If only the well child and immunizations were performed, a -25 modifier would be attached to the 99394. If the immunizations had not been performed, modifier -25 would be attached to the 99213. Can you use modifier -25 twice for one encounter??? Is there another modifier I should be using???
99394
99213
90471
90472(2)
90734
90749
90715
My question is in regards to the modifiers. If only the well child and immunizations were performed, a -25 modifier would be attached to the 99394. If the immunizations had not been performed, modifier -25 would be attached to the 99213. Can you use modifier -25 twice for one encounter??? Is there another modifier I should be using???