Respiratory

Week of June 17, 2013

Question:

Is a modifier required when billing evaluation and management services on the same date of service as a pulmonary diagnostic procedure?

Answer:

If documentation supports that a separate and distinct medical visit occurred, modifier 25 may be appended to the evaluation and management services (99201-99205, 99211–99215) CPT code when that service occurs on the same date of service as a pulmonary diagnostic procedure (94010–94799).

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