Author Topic: Modifiers for E/M  (Read 2223 times)

ccosgrove

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Modifiers for E/M
« on: May 22, 2012, 12:28:13 PM »
I have a Physical therapy eval and a e/m. Our edit software  is telling me the the 97001 should go first and the 99203 second. It also says that the 99203 can get the 25 or the 59 modifier. I have never seen a 59 with an e/m can anyone respond

DMK

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Re: Modifiers for E/M
« Reply #1 on: May 22, 2012, 02:09:13 PM »
E/M should go first with -25 indicating it's got the appropriate documentation for E/M (if in fact it does).  The 97001 should have the -59 to indicate it was a SEPARATELY done service, otherwise it will get bundled.

Medical Billing Forum

Re: Modifiers for E/M
« Reply #1 on: May 22, 2012, 02:09:13 PM »