tci Part B Insider - 2005 Issue 30

Part B Coding Coach: Test Yourself-When Does Modifier 25 Apply?

Stay off the OIG's hit list while collecting well-deserved reimbursementIf you don't know the how-to's of coding with modifier 25, you could be facing something much more costly than denied claims. The Office of Inspector General (OIG) has taken a special interest in the use of this common modifier, but careful attention in appending could prevent an unwanted visit from your auditor. How savvy are you when it comes to modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service)? Test your knowledge with the following...

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