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Billing 99215 and 99354 does e/m need modifier

Mary Posted Mon 04th of March, 2013 17:01:23 PM

Does 99215 and 99354 need modifier

SuperCoder Answered Tue 05th of March, 2013 07:06:24 AM

No need to append any modifier with 99215 and 99354 as the description says for 99354 "prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour", which is used separately in addition to code for office or other outpatient evaluation and management service.
Moreover, if we check CCI Edits for 99215 and 99354, it says NO CCI Edit.

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