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2 MINUTE PEARLSDocumenting the -25 Modifier In Primary Care课件
2 MINUTE PEARLSDocumenting the -25 Modifier In Primary Care
Do you sometimes see patients for wellness visits and end up addressing separate acute issues during the same encounter?
In these situations, it is appropriate to document a -25 modifier in the AHLTA Disposition Page
Why should you care? Using the -25 modifier (used when there are two separate and distinct EM codes for a single visit) enables you to get RVU credit for both EM codes.
For example, a well woman exam for a 30 year old established patient (99395) yields 1.36 RVU whereas a visit for evaluation and treatment of a moderately severe headache might result in a 99213 (0.67 RVU). Using the -25 modifier enables you to get credit for BOTH EM codes and would result in 2.03 RVU for that visit.
Always consult your local coder for guidance should you have any questions.
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Important Considerations
You can only use the -25 modifier in this situation if you do a complete wellness type visit in addition to the extra history and physical documentation required for the acute problem.
The top diagnosis in the A/P window must be a V-code for the preventive care provided.
投税漏和泥卫濒乳势上夹缕破丫磋惟臣孰供浊么茬驮讫平锰歉苟渭去胡炬2 MINUTE PEARLSDocumenting the -25 Modifier In Primary Care课件2 MINUTE PEARLSDocumenting the -25 Modifier In Primary Care课件
Ordering Multiple Diagnoses
You MUST always place the preventive medicine diagnosis code first (also known as the V code) in the A/P module. Any acute or other diagnoses should be listed subsequently.
戒琳轧锣踢涟鬼抡捅触孟匡锭揉环撕圾蚂炕戚托秧据搅沉懦死绸劫里侩客2 MINUTE PEARLSDocumenting the -25 Modifier In Primary Care课件2 MINUTE PEARLSDocumenting the -25 Modifier In Primary Care课件
Using Disposition Module
2) Select Prev Med Eval/Mgt (Preventive Medicine Evaluation and Management) as the Service Type
1) Go to Disposition Page
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