Modifier 25 should be appended to the office or other. outpatient service code to indicate that a significant, separately. identifiable E/M service was provided by the same physician. on the same day as the preventive medicine service.
The level of homocysteine in the blood can be measured with a simple blood test that is often, but not always, done after fasting. Homocysteine levels of 12 mmol/L are considered normal and levels below 10 mmol/L are considered desirable.
Two copies of A1298C are not typically associated with increased homocysteine levels. If the MTHFR mutation test is negative, then the C677T and A1298C mutations were not detected and the tested person's elevated homocysteine level is likely due to another cause.he MTHFR mutation test may sometimes be ordered when a person has elevated homocysteine levels, especially when the person has a personal or family history of premature cardiovascular disease or thrombosis.