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99173 need a modifier?

Hi Everyone.
I am hoping someone can help me. I am trying to figure out if when billing 99382-99384 or 99392-99394 (prev med visit new/est pt) with 99173 (vision screening) if the vision screening needs a 59 modifier for the state of MN? Per the the Minnesota Child and Teen Checkups (C & TC) coding scenarios it states that when billing 99173 with a preventive medicine E/M code that a 59 should be applied to the vision screening, When I look it up on the encoder it does not show that a modifier is needed? Does anyone know if it truly needs a 59 added?

Hoping for some insight!

Medical Billing and Coding Forum

99173 vision screening with E/M

Good morning,
I need an opinion, please. When a patient comes into our urgent care facility for any eye issue, a vision screening is done, even if it is just for possible conjunctivitis. Should this 99173 be billed separately or should it be considered part of the E/M service? I think it should be included in the E/M service, but the facility I work in is billing it separately, and our Medicare patients are being stuck with a bill because conjunctivitis does not justify this charge.
Thanks in advance for any input!
Cathy

Medical Billing and Coding Forum