DecisionHealth, DecisionHealth - 2024 Issue 10 (October)

Modifier 25, highly used, tops $4B in associated payments

Modifier 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) continues to see high utilization. Providers reported it on more than 65 million claims in 2023.

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