Question

17. Susie Jones is in the office today to see her regular physician for her 5 year well child check. She is getting ready to start school in a month and needs to have her immunizations updated. What modifier will be used with the preventative service code? Explain why the modifier is required for reimbursed of both the well child check and the immunizations

Answer 1

The correct answer is: Modifier Code 25

CPT code modifiers are used to adjust care descriptions and to provide extra details about the procedure or service provided by a physician in order to help better describe of a procedure without changing its definition. Modifiers are required to clarify how things should be paid.

Modifier Code 25 is used to identify separately identifiable evaluation and management services (well child check) performed by the same physician on the same day as a procedural service (immunization).