January 2008 page 9-end
Modifiers, 25 (Q&A)
Question: In Appendix A of the 2008 CPT codebook, the
explanatory language of modifier 25, Significant, separately
identifiable evaluation and management service by the
same physician on the same day of the procedure or other
service, does not include the term physician in the opening sentence.
Can physicians report modifier 25 for an evaluation and
management service?
Answer: The explanatory language for modifier 25 was
revised for CPT 2008 to remove the term physician in the
opening sentence to avoid appearing to prohibit other
qualified health care professionals who may use...
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