Does CPT 99173 need a modifier?

When billing for a separately identifiable service on the same date as an E/M service, the modifier −25 should be appended to the E/M code (for instance, 99213-25.) Payers may choose to bundle code 99173 with the E/M service despite the correct modifier usage.

What is procedure code 99173?

visual acuity screening
CPT codes 99172 (visual function screening) and 99173 (visual acuity screening) are examinations considered to be an integral part of an office visit or well-child visit.

Is CPT 99173 covered by Medicare?

99173 is covered by Medicare, it’s just limited coverage meaning it can be upstaged by a higher RVU service which it usually is.

Can you bill 99173 with G0402?

When visual function screening (99172) or visual acuity screening (99173) is billed with a Preventive Medicine code (99381-99397, G0402, G0438-G0439) on the same date of service by the same specialty physician or other health care professional, only the Preventive Medicine code is reimbursed.

Does 99177 need a modifier?

on claims for services rendered to children between 3 and 5 years of age. modifiers should be used with CPT code 99174 or 99177? years or over 5 years of age, only one modifier is required (e.g., 99174-59).

What is the difference between CPT code 92012 and 92014?

Code 92012 is closest to 99213 (low to moderate MDM) and 92014 is closest to 99214 (moderate to high MDM). These services require that the patient needs and receives care for a condition other than refractive error.

What does CPT code 99393 mean?

Periodic comprehensive preventive medicine
99393 – CPT® Code in category: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established …

What is CPT code 99173?

The Current Procedural Terminology (CPT) code 99173 as maintained by American Medical Association, is a medical procedural code under the range – Other Medicine Services and Procedures.

What is CPT 99174?

CPT 99174, Under Other Medicine Services and Procedures. The Current Procedural Terminology (CPT) code 99174 as maintained by American Medical Association, is a medical procedural code under the range – Other Medicine Services and Procedures.

What is CPT code 59 modifier?

The primary purpose of CPT modifier 59 is to indicate that two or more procedures are performed at different anatomic sites or during different patient encounters. It is usually used when no other modifier more appropriately describes the relationship of the procedure codes.