dballard2004
True Blue
Is there any written guidance from CPT that states you can't append modifier 52 to a preventative medicine code?
Here is the scenario: We have a patient that comes in for her annual physicial. The provider does not take a complete PFSH or a complete ROS. The exam is detailed because the patient did not want here GYN exam performed.
Can we code this as preventative and append modifier 52? Since preventative codes include a comprehensive exam and a complete PFSH and an extended or complete ROS, and we did not do that here, doesn't this qualify for a reduced service?
Here is the scenario: We have a patient that comes in for her annual physicial. The provider does not take a complete PFSH or a complete ROS. The exam is detailed because the patient did not want here GYN exam performed.
Can we code this as preventative and append modifier 52? Since preventative codes include a comprehensive exam and a complete PFSH and an extended or complete ROS, and we did not do that here, doesn't this qualify for a reduced service?