Forum - Questions & Answers

Nov 6th, 2012 - cgonzalez8085

Modifier

What modifier can be used when patient is seen for office consultation (99245) and Destruct of lesions 1-9 (17110) done on same day as consultation so both codes can get paid?

Nov 6th, 2012 -

re: Modifier

use modifer 25

Nov 6th, 2012 -

re: Modifier

use modifier 25 on the visit

Nov 6th, 2012 -

re: Modifier

thank you

Nov 6th, 2012 - Codapedia Editor 1,399 

re: Modifier

Seems like a high level consult for destruction of lesions. Some payers have policies about E/M and minor procedures.

Nov 6th, 2012 - nmaguire   2,606 

re: Modifier

If a non-medicare patient, put -25 on appropriate consultation code. Diagnosis codes must support medical necessity.



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