tci ED Coding & Reimbursement Alert - 2022 Issue Q2

Modifiers: Capture Separate E/M Pay With 3 Tips

Understand what counts as ‘separately identifiable.’ Reporting a separate evaluation and management (E/M) service every time your ED provider performs a procedure may make you think you’re a prime target for an audit, but knowing the right way to report these services can keep you on the straight and narrow. Unlock the secrets to legitimate pay for separately identifiable E/M services using 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) with these three guidelines. 1...

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