AMA CPT® Assistant - 1993 Issue 4 (April)

Modifiers -21, -25, -57, -58 (Winter 1993)

Winter 1993 page 26-end Coding Clarification Modifiers -21, -25, -57, -58 Modifiers -21, and -25 were revised in CPT 1994. Modifiers -57 and -58 were added to CPT 1994. Modifier -21 -21    Prolonged Evaluation and Management Service: When the face-to-face or floor/unit service(s) provided is prolonged or otherwise greater than that usually required for the highest level of evaluation and management service within a given category, it may be identified by adding modifier "-21" to the evaluation and management code number or by use of the separate five digit modifier code 09921. A report may also be appropriate. Modifier -21...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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