Forum - Questions & Answers
Modifier
The doctor saw a patient & performed a well visit, shots were also administered during the same visit. Does a modifier need to be added to the visit?
re: Modifier
No, but the diagnosis will be linked to why shots were administered.
re: Modifier
It has been our experience in the last six months or so, that modifier 25 should be added to the exam to avoid the admin codes being bundled w/the exam. We have not had any problems billing this way.
re: Modifier
we also use a 25 mod in my practice for "shot admin" but what would you suggest with oral admin? someone suggested using a 59, do any of you do this?
re: Modifier
[we also use a 25 mod in my practice for "shot admin" but what would you suggest with oral admin? someone suggested using a 59, do any of you do this?]
Yes, CCI edits have office visits and the admin code bundled together, Modifier 25 would be used accordingly.