tci E/M Coding Alert - 2022 Issue Q3

Back to Basics: Can You Distinguish a Procedure From an E/M Service?

Plus, know how to support, with documentation, appending modifier 25. Even expert coders may struggle to know exactly when to append modifier 25 because the descriptor phrase “significant and separately identifiable” is less than straightforward. These tips will help you brush up on your understanding of evaluation and management (E/M) basics and feel confident about knowing when and how to use 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). Review What Qualifies as E/M There are a...

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