nc_coder
Expert
I understand using this modifier with a colonoscopy. However, I work for a Family Practice. Could I use this modifier when a patient comes in for a Physical and there is also a diagnostic or therapeutic service provided?
Example: A 55 year old comes in for annual visit. He also has hypertension. There is a separate E/M service for the hypertension because the current plan of treatment was discussed and changed.
Currently we are billing this as 99396 (V70.0), 99213-25 (401.9). Could I bill the 99213 with a modifier 33? If so, would the 33 be "instead of" the 25 or "in addition to"?
Many patients now get "free" preventive services and they do not understand when they come in for their physical that they may have another service that would be subject to their copay or deductible. We do have them sign a form before they have their physical informing them of the possibility, but most do not pay attention to it and then get upset when they get a bill from us.
Example: A 55 year old comes in for annual visit. He also has hypertension. There is a separate E/M service for the hypertension because the current plan of treatment was discussed and changed.
Currently we are billing this as 99396 (V70.0), 99213-25 (401.9). Could I bill the 99213 with a modifier 33? If so, would the 33 be "instead of" the 25 or "in addition to"?
Many patients now get "free" preventive services and they do not understand when they come in for their physical that they may have another service that would be subject to their copay or deductible. We do have them sign a form before they have their physical informing them of the possibility, but most do not pay attention to it and then get upset when they get a bill from us.