When a preventative exam is performed, 99381-99397 and a person gets an immunization/hearing test/eye exam/etc… then a modifier 25 is put on the preventative exam code.

When a person also has an abnormal finding and a 99212 would be appropriate, I understand to add this with a modifier 25.

My question is, just to confirm, that when billed a 25 modifier will be on both the preventative and other E/M code? Or does the modifier on the preventative come off since the 99212-25 is being billed?

99381-25
99212-25