tci E/M Coding Alert - 2024 Issue Q1

Reader Questions: Remember This Modifier 25 Tip

Question: Should I always append modifier 25 for a minor procedure with an evaluation and management (E/M) service? Pennsylvania Subscriber Answer: Modifier 25 (Significant, separately identifiable evaluation and management service by the same physician … on the same day of the procedure or other service) is known for creating confusion in scenarios such as the one you describe. The key to knowing when and how to append this modifier when your provider performs a minor procedure with an E/M is recognizing when the additional work is “significant” and “separately identifiable,” and, therefore, additionally billable. The first...

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

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