tci E/M Coding Alert - 2017 Issue 1

Reader Question: Master Modifier 25 By Identifying Separate E/M

Question: My cardiologist saw an inpatient for acute claudication/ischemia of the foot and recommended peripheral vascular angiography with possible intervention. The same day, the cardiologist performed angiography and mechanical thrombectomy of the patient's popliteal artery. Can I use modifier 25 to report the E/M code and the procedure codes? Colorado Subscriber Answer: Yes. In this case, you can append 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 your E/M code, which, for example, could be the 99233...

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