Wiki PregnancyTest

[ncgirl]

Patient came with GI problems and potential pregnancy symptoms. 81025(pregnancy test) was done. Had 99213 visit. Should we put -25 on the E&M?

Thanks in advance.

 

[brownm]

No you dont need a modifier for the preg test

 

[ncgirl]

Thanks so much. could you please explain why?

 

[ewinnacott]

The 99213 and the 81025 don't bundle per CCI so you don't need a modifier but more info is needed. Is the prime dx for the GI issue or the pregnancy?? Actually I don't think it matters either way as long as one of the dx's for the office visit is related to testing for pregnancy

 

[ncgirl]

Thank you. Appreciate your help.