We can all learn the definition of Modifier 25, “Significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of the procedure or other service,” but do we really understand the meaning of it?
Read MoreAs coders we face many struggles, including determining when the use of modifier 25 is appropriate.
Modifier 25 was designed to indicate a significant, separately identifiable evaluation and management (EM) service, by the same physician/specialty on the day of a procedure with a global period of 0/10 days. What can be challenging is knowing when to apply the modifier correctly.
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