tci E/M Coding Alert - 2023 Issue Q2

Modifiers: Know When to Separate E/M From Surgery RVUs

Billable E/M service might be obvious, but never assume it. If an emergency department (ED) provider performs a significant, separately identifiable evaluation and management (E/M) service in addition to a surgical procedure, appending a modifier is crucial to show the separation of the codeable E/M service from the E/M built into the relative value units (RVUs) of the surgery. Consider this diagnosis documentation advice when coding significant, separately identifiable E/M services along with procedures. Understand Global Differences on 25/57 Just a quick reminder: The coding advice in this article is equally applicable to modifiers 25 and 57. The modifiers...

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