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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]
EPSDT Provider Toolkit - wellcare
99381 Preventive visit, Age < 1 year 99391 Preventive visit, Age < 1 year 99382 Preventive visit, Age 1-4 99392 Preventive visit, Age 1-4 An EP modifier is used to identify Early and Periodic Screens, and services provided in association with an Early and Periodic Screen, therefore any service provided in an Early and Periodic Screen should[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.[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
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.
Related searches for ep modifier for preventive visit
preventive visit cptpreventive visit requirementswhen to use modifier epmodifier ep for medicaidep modifier description[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 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 Author: Medical Billing

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