Yes, you can add modifier 25 to code 99395. Modifier 25 indicates that a significant, separately identifiable evaluation and management service was performed on the same day as another service. In this case, it would suggest that a comprehensive preventive exam (99395) was conducted alongside an additional evaluation or treatment that warranted separate billing.
FALSE
.25 x 60,000 = 15,000 add to get 75,000
example modifier and complement
The two numbers that add to give you 25 and multiply to give you 26 are 24 and 1. When you add 24 and 1, you get 25, and when you multiply them, you get 26.
If you add 25 to 710, you will get 735.
no
Yes, however add 99203 modifier 25.
25
FALSE
Add on Codes Can not be billed with Modifier 51(multiple Procedures).
25
99395
add-on
The 25 modifier is typically added to the evaluation and management (E/M) service code that is billed separately when a procedure or service is performed on the same day. In this case, if both 99283 (Emergency department visit, low to moderate severity) and 99213 (Office or other outpatient visit, established patient) are billed, the 25 modifier is generally added to the code that represents the more comprehensive service. If both codes are necessary, ensure that the documentation supports the medical necessity for each service.
99395 is a routine exam ("check up") for an adult aged 18-39 who is not new to the practice. The preventive exam codes are broken out by age and by new or established status.
Need to bill with modifier 25
99395