Tag Archive | "Modifier 25"

Straight From the Source: Use Modifier 25 the Right Way With CCI Manual Tips

Friday, September 22, 2017

0 Comments

It can be tricky knowing when to append 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). More specifically it can be tough to determine whether work performed by a provider amounts to a separate […]

Continue reading...

Myth Buster: Get Ahead of MPFS 2017 Inspection of 0-Day Global Codes With Mod 25

Tuesday, August 23, 2016

0 Comments

A previous post about the 2017 physician fee schedule mentioned that the proposed rule lists 83 services with 0-day globals to review because of the large number of same-day E/Ms being reported with those codes. If that news got your codey-sense tingling, defeat your audit fears by busting these troublemaking myths. But first: Speaking of […]

Continue reading...

Unlock Deserved Payment for Extra Services With Modifier 25

Wednesday, October 7, 2015

0 Comments

Carefully code modifier 25, the key to unlocking separate evaluation and management (E/M) reimbursement because if your coding isn’t solid, you can expect payers to deny your claim. Perform Two Services, Deserve Two Payments When your provider delivers more than one service at a single encounter, consider whether you need a modifier. CPT® tells us […]

Continue reading...

Modifier 25 Use Doesn’t Depend on ICD-9

Monday, June 11, 2012

0 Comments

Question: I recently heard that you don’t need different diagnosis codes when appending modifier 25 to an E/M service on the same date as a procedure. But I’ve been told many times in the past by certified coders that when I bill more than one procedure I need to add modifier 25 to the E/M, point […]

Continue reading...