DecisionHealth, DecisionHealth - 2024 Issue 7 (July)

Pinpoint high-rate denials for modifier 25; some E/Ms top the list

Watch out for turbulence when turning to modifier 25 (Significant, separately identifiable E/M service) for E/M services submitted on the same date as a procedure. Several of the most frequently reported E/M codes, including level one established visit code 99211, garnered double-digit denial rates.

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