tci General Surgery Coding Alert - 2022 Issue Q2

Reader Questions: Stay Focused on H&P Documentation for Modifier 25

Question: Do the recent changes to E/M codes alter the way we use modifier 25? California Subscriber Answer: The rules for using 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) haven’t changed, but in some ways, the changes in E/M coding rules may alter how you apply the modifier. Flashback: It used to be that you had to check whether the provider documented enough data in the history and physical exam (H&P) sections of their progress...

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