tci E/M Coding Alert - 2016 Issue 4

Modifier Basics: Make Modifier 25 Your Constant Companion When Considering Multi-Code Claims

Documentation is the key to claims with separate E/Ms. Coders that hope to report E/M services correctly when the provider performs multiple services during the same encounter need to know modifier 25 in and out. Why? Failure 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), when necessary, can result in denials or delays in payments. Check out this advice aimed at helping you get modifier 25 claims right the first time. Remember: 25 for E/Ms Only...

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