tci E/M Coding Alert - 2017 Issue 12

Reader Question: Think You Can Never Report Modifiers 24 and 25 Together? Think Again

Question: Can you ever report modifiers 24 and 25 on the same claim? Hawaii Subscriber Answer: Yes. You can use modifiers 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) and 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 the same claim, if the physician saw the patient for a completely new or totally unrelated issue within the post-op period, a procedure was done that same day...

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