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- Are You Using Modifier 25 Correctly? - AAPC Knowledge Center
Modifier 25 indicates that additional reimbursement is needed to account for the extra E M work The key is recognizing when the additional work is “significant” and, therefore, additionally billable
- How to Use Modifier 25 - AAFP
Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211
- Modifier 25 fact sheet - Novitas Solutions
Use modifier 25 with the appropriate level of E M service Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E M service, above and beyond the usual pre- and post-operative care associated with the procedure or service performed
- Reporting CPT Modifier 25 - American Medical Association
Modifier 25 is used to indicate that a patient’s condition required a significant, separately identifiable evaluation and management (E M) service above and beyond that associated with another procedure or service being reported by the same physician or other qualified health care professional (QHP) on the same date
- SUBJECT: Use of Modifier –25 and Modifier 27 in the Hospital Outpatient . . .
To append modifier –25 appropriately to an E M code, the service provided must meet the definition of “significant, separately identifiable E M service” as defined by CPT
- 25 - JE Part B - Noridian
Use to indicate that an E M service was provided on same day as another procedure that would normally bundle under National Correct Coding Initiative (NCCI) In this situation, this modifier signifies that E M service was performed for a reason unrelated to other procedures
- Modifier -25: How to use it appropriately and avoid costly penalties - AOA
When used appropriately, the use of modifier -25 can help to ensure that patients receive appropriate treatment and that doctors of optometry are reimbursed appropriately for their service
- How to Use Modifier 25 Correctly
Modifier 25 is used to facilitate billing of E M services on the day of a procedure for which separate payment may be made It is used to report a significant, separately identifiable E M service by the same physician on the day of a procedure
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