25  Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified...

CPT^® Code Modifiers

25 - Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service: It may be necessary to indicate that on the day a procedure or service identified by a CPT code was performed, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. A significant, separately identifiable E/M service is defined or substantiated by documentation that satisfies the relevant criteria for the respective E/M service to be reported (see Evaluation and Management Services Guidelines for instructions on determining level of E/M service). The E/M service may be prompted by the symptom or condition for which the procedure and/or service was provided. As such, different diagnoses are not required for reporting of the E/M services on the same date. This circumstance may be reported by adding modifier 25 to the appropriate level of E/M service. Note: This modifier is not used to report an E/M service that resulted in a decision to perform surgery. See modifier 57 For significant, separately identifiable non-E/M services, see modifier 59.

The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro   The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. sign INsign UP

auto-open    Additional Code Information  

Additional Code Information includes: APC Status Indicator Assistant Surgeon (80, 82) Bilateral Surgery (50) CCS Clinical Classification Co-Surgeons (62) Diagnostic Imaging Family Facility MUEs Global Days Hierarchical Condition Categories (HCC) Major Complications or Comorbidities (MCC/CC)   Medicare Status Code Multiple Procedures (51) Non-Facility MUEs OTS Orthotic PC/TC Indicator (26) Physician Supervisions Team Surgery (66) Type Of Service (TOS) and more... Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP

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View historical information about the code including when it was added, changed, deleted, etc. Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP

auto-open    My Notes  

Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Access to this feature is available in the following products: Find-A-Code Essentials Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro   Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. sign INsign UP

auto-open    Coding Tips  

Subscribers will see related documentation, coding and billing tips. Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP