BC Advantage - 2012 Issue 4

When and How to use this coding adjective Modifier -25

The focus of this article is to discuss Modifier -25:When and how to use this modifier Tips for physicians and their staff The impact on billingModifiers are two (2) digit numeric or alpha characters that are reported with a CPT code when appropriate.  They provide Medicare and commercial payers with additional (and essential) information needed to process a claim.  Modifiers provide the means by which the physician can "flag" a service that has been altered by some special circumstances without changing the basic CPT code description.The importance of the -25 modifier is that it allows physicians...

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