Admittedly I struggle with when to use modifer 25 verses 59
If a patient has COPD and the provider is looking to assess lung function during a routine follow up appointment
Or
If a patient c/o chest pain duuring a follow up appointment for his diabetes and HTN and the provider orders an ekg
If in both scenerios the providers staff performs the procedures the results are interpreted by the ordering provider and documentation supports same
I beleive a modifer 59 would be most appropriate ,however not completely sure.
I maybe overthinking this but is the use of either modifier determined by reason for the diagnostics whether it be done as an annual assessment(but not duing an annual exam) on the same day to save the patient another seperate visit or diagmostic to rule out a condition or a concern
If anyone can help clear the air I would appreciate your help I have researched abd looked at several examples but still find this confusing
Thank you
Cheri