Forum - Questions & Answers

Aug 8th, 2014 - dgeorgakis 1 

2 office visits

Am I able to charge a preventative visit and a problem visit on the same claim using a 25 modifier? the provider is writing separate progress notes.

Aug 8th, 2014 - msmith6243 7 

re: 2 office visits

Yes

Aug 8th, 2014 - Kat31477 56 

re: 2 office visits

Yes, modifier 25 needs to be on the problem E&M code (NEVER on the preventative service) and the dx code needs to be a 'problem dx' (i.e. not a v-code). The documentation has to support the service was separate and identifiable from the prev. service.

Aug 8th, 2014 - msmith6243 7 

re: 2 office visits

To clarify and avoid confusion you NEVER add the 25 mod to a preventative visit, when billed with another E&M code. If the prev visit is the ONLY E&M code and there is also a procedure, injection (admin codes), etc. then you would attach the modifier to the prev visit.

Aug 8th, 2014 - dgeorgakis 1 

re: 2 office visits

Thank you so much. I thought this was correct but I was questioning myself. Have a great weekend.



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association