Modifier 25 fact sheet - Novitas Solutions
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.
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. This service must be above
Modifier 25 - CodingIntel
Sep 12, 2024 · Use modifier 25 when an E/M service is performed on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Use our quick reference sheet and audit tool to determine when to use modifier 25, and which code to …
How to Use Modifier 25 - AAFP
Questions about modifier 25 have increased since add-on code G2211 was implemented in 2024 to reflect the value primary care physicians provide to patients. Learn how to report modifier 25...
Are You Using Modifier 25 Correctly? - AAPC Knowledge Center
Mar 25, 2022 · 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 …
Modifier 25 - Significant, Separately Identifiable evaluation and management service by the same physician on the same day of the procedure or other service. · The purpose of this modifier is to indicate that a significant, separately identifiable E/M service
Modifier 25 Tip Sheet - Novitas Solutions
Modifier 25 is defined as a 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.
CPT modifier 25 is appended to an evaluation and management (E/M) service code on a claim to indicate the code is a significant, separately identifiable E/M service by the same physician or other qualified health care professional on the same day of the procedure or other service.
When to Add a Modifier 25 to the E/M | eGuide [Healthicity]
Print it out and hang it in your office for an easy reminder of the Modifier 25 rules. It’s much easier than searching for your notes, covering your cubicle in post-its or scanning industry chat rooms. Download the cheatsheet, When to Add a Modifier 25 to the E/M, for a free roadmap of when it’s appropriate to code Modifier 25 including:
Modifier 25 Cheatsheet YES NO AMA’s definition of 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.” *Special thanks to Melissa A. Briggs, CPC, CPMA, Coding Education