tci General Surgery Coding Alert - 2022 Issue Q4

Reader Questions: Find New Ways to Use Modifier 25

Question: I’ve heard that we can use modifier 25 to bill two E/M visits on the same date of service. Is that true? Nebraska Subscriber Answer: That will be true, in some cases, effective Jan. 1, 2023. CPT®updates to some E/M guidelines make that change. Prior to that time, you should reserve 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) for cases involving an E/M service on the same date as a procedure. Update: Revised 2023...

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