tci E/M Coding Alert - 2024 Issue Q3
Modifiers: Remember These 3 Rules for Modifier 25 Use
Separate, significant, and same day spell successful application. When you attach 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) to a code, you’ll always face scrutiny by watchdogs in the healthcare industry. “Appropriate use of modifier 25 has often been on the Office of the Inspector General’s [OIG’s] Annual Work Plan,” cautions Marcella Bucknam, CPC, CCS-P, COC, CCS, CPC-P, CPC-I, CCC, COBGC, compliance office with University of Washington Physicians in Seattle, Washington. &ldquo...
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