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CPT 99497; Advanced Care Planning Billed With 90471/90472 Immunization Administration; Hits Cci Edit. 99497 Is Column 2 To 90471/90472; Modifier Can B

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CCO_Admin

CCO_Admin

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CCO Admin asked:

I hope someone can help: CPT 99497; Advanced Care Planning billed with 90471/90472 immunization administration; hits CCI edit. 99497 is column 2 to 90471/90472; modifier can be used. Scratching my head over the Modifier; not sure what to use. Any help would be appreciated; thank you

Answer:

99497 is considered an E/M code. Thus; consider appending the 25 modifier to it.
 
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