DecisionHealth, DecisionHealth - 2018 Issue 7 (July)

Modifier 25 used on non-E/M codes gets surprisingly forgiving denial rates

Modifier 25 (Significant, separately identifiable E/M service) is, as the name implies, supposed to be used with E/M codes to distinguish the work done on those codes from other services that would ordinarily be bundled with them. But some non-E/M codes were logged with 25 on claims, and a few had surprisingly low denial rates.

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