tci E/M Coding Alert - 2022 Issue Q1

Modifiers: Rely on Global Periods to Help Choose Appropriate Modifier

Hint: Modifier 24 is defined by the post-op period. You know the definition for 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) like the back of your hand. You may be so used to appending modifier 25 to secure payment for situations where your provider performs an evaluation and management (E/M) service alongside a significant, separately billable procedure that other modifiers don’t even come to mind. But, watch out. Make sure you’re keeping an eye on...

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