tci E/M Coding Alert - 2014 Issue 3

Reader Question: Gotta Have That HEM

Question: A patient came into the office to see our orthopedist to receive a knee injection. The patient has had injections from this physician in the past. Can I use modifier 25 on this claim?New York Subscriber Answer: If you have sufficient history, exam, and medical decision making (HEM) to support billing a separately identifiable service, you can 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) on this claim. The E/M service should be separately identifiable...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.