If a patient’s weight changes in either direction and crosses the weight threshold for a particular code, the appropriate code for that daily weight should be used. For example, an infant with a birth weight of 1500 g is admitted on Monday and required intensive care (code—99477). The...
Example: A patient reports for pulmonary function testing in the morning and then attends the hypertension clinic in the afternoon. The pulmonary function tests are reported without an E/M service code. However, an E/M service code with the modifier –25 appended should be reported to indicate ...