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  • Are You Using Modifier 25 Correctly? - AAPC Knowledge Center
    Modifier 25 is appropriate when an E M service is provided on the same day as a minor procedure; defined as one with a 0-day or 10-day global period Do not use modifier 25 when billing for services performed during a postoperative period if related to the previous surgery
  • Reporting CPT Modifier 25 - American Medical Association
    Modifier 25 should only be appended to E M services codes Instructions reinforcing this can be found throughout the CPT code set, including but not limited to, subsections such as Hemodialysis, Allergy and Clinical Immunology, and Drug Infusions Requires awareness of usual preoperative and postoperative services
  • Modifier -25: How to use it appropriately and avoid costly penalties - AOA
    It is possible for the use of modifier -25 to be appropriate when additional E M services are necessary for performing surgical procedures Modifier -25 can always be appended when reporting E M services and, depending on the payer, often with General Ophthalmological examination codes
  • How to Use Modifier 25 - AAFP
    Modifier 25 is a way to identify a “significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of
  • Modifier 25 fact sheet - Novitas Solutions
    Do not report HCPCS code G2211 when modifier 25 is reported on an associated E M visit (CPT codes 99202-99205 and 99211-99215) for claims not containing a Part B preventive service, immunization administration, or annual wellness visit service or dates of service prior to January 1, 2025
  • Appropriate Use of Modifier 25 - American College of Cardiology
    Per the NCCI general correct coding policies, Modifier 25 may be appended to E M services reported with minor surgical procedures (global period of 000 or 010 days) or procedures not covered by global surgery rules (global indicator of XXX)
  • Modifier 25: Are you using it correctly? - Physicians Practice
    Simply put, modifier 25 is appended to an E M code when a procedure and a separate and significant E M service is performed by the same physician during the same session or on the same date For example, an established patient comes to your office with a suspicious lesion and, based on your assessment, you decide to excise it
  • Understanding and Correctly Reporting CPT Modifier 25
    Specific Application to E M Services: Modifier 25 should only be appended to E M service codes, as outlined in various sections of the CPT code set, such as Hemodialysis, Allergy and Clinical Immunology, and Drug Infusions
  • Modifier 25 under fire: Are you using it correctly?
    Avoiding misuse of modifier 25 To avoid overuse or misuse of modifier 25 and reduce the risk of an audit and repayment demand by payors, the ACS offers the following recommendations: •Do not automatically report an E M code every time you perform a minor procedure in an office or facility •Append modifier 25 to the E M code on the claim
  • When is it Appropriate to Use Modifier 25? - Express Medical Billing
    Modifier 25 is applied to a service not a procedure code For example, you would not apply modifier 25 to each 99202 CPT code However, if you saw a new patient, completed the services rendered as appropriate to bill a 99202 E M, and performed an injection on the same day, you would apply a 25 modifier on the new patient E M service





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