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Preventivevisit, <1 year 99391: ModifierEP: Used with procedure codes 99381-99385 and 99391-99395 when a Full or Partial screening is performed. Modifier52: Used with modifierEPwhen all components have not been met, but at least the first 5 or more components were completed according to the HCY/EPSDT requirements.
HCY/EPSDT - Quick Reference Billing and Coding Guide
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Instructions for the Use of Modifiers 25 and EP with
use, providers may use modifier 25 and modifier EP with preventive medicine service codes (99381-99385) when they are reported in conjunction with any immunization administration service (90460-90461, 90471-90474). Use modifier 25 with other non-preventive medicine evaluation and management (E/M) services (e.g., codes[PDF]
Early and Periodic Screening, Diagnosis and Treatment
Modifier EP The following procedure codes must be billed with modifier EP when the service is rendered as part of the member’s EPSDT screening visit:  All EPSDT preventive visit codes — CPT 99381-99385 and 99391-99395[PDF]
HCY/EPSDT - Quick Reference Billing and Coding Guide
Preventive visit, <1 year 99391: Modifier EP: Used with procedure codes 99381-99385 and 99391-99395 when a Full or Partial screening is performed.
EPSDT Coding Reminder
All preventive visits must be coded with the EP modifier and appropriate diagnosis code. Peach State Health Plan allows for a periodic screens at each age.
CPT CODE 99381, 99382 - 99385 - Preventive visit new patient
Established Patient Modifiers As Applicable ICD-10-CM Diagnosis Codes Preventive visit, Modifier EP: Used with procedure codes 99381-99385 and 99391-99395 when a Full or Partial screening is performed.Author: Medical Billing[PDF]
Preventive Medicine and Screening Policy
preventative service, office or other outpatient services and preventive medicine CPT codes (99381 – 99385, 99391 – 99395) with an EP modifier. EPSDT visits are paid at a global rate for the services specified and no additional reimbursement is allowed.[PDF]
Coding for Pediatric Preventive Care, 2019
Coding for Pediatric Preventive Care, 2019 and assessments recommended at each well-child visit from infancy through adolescence. The following services and codes for the visit and attach modifier . 25, which identifies that the problem-oriented pelvic visit is a separately identifiable E/M[PDF]
Provider Billing Communication - WellCare
visit. Must be used with codes 99211 or 99212 on the same claim and same date of service as the preventive health visit and must also include the EP modifier. Place of Service Code
CPT CODE 99391, 99395, 99396, 99397, 99394 - Preventive Exam
OVERVIEW Preventive Medicine Services [Current Procedural Terminology (CPT®) codes 99381-99387, 99391-99397, Healthcare Common Procedure Coding System (HCPCS) code G0402 are comprehensive in nature, reflect an age and gender appropriate history and examination, and include counseling, anticipatory guidance, and risk factor reduction Author: Medical Billing
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