tci E/M Coding Alert - 2019 Issue 3

Modifiers: Think You Know Modifier 25? Find Out With This Comprehensive Guide

End the modifier muddle with the answers to these questions. You may think you know 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). But “appropriate use of modifier 25 has often been on the Office of the Inspector General’s [OIG’s] Annual Work Plan,” according to Marcella Bucknam, CPC, CCS-P, COC, CCS, CPC-P, CPC-I, CCC, COBGC, revenue cycle analyst with Klickitat Valley Health in Goldendale, Washington. “The OIG reviews use of modifier 25 and...

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