AMA CPT® Assistant - 1997 Issue 5 (May)

Coding Clarification (May 1997)

May 1997 page 4-end Coding Clarification codingclarification Is -25 modifier ever warranted with 99211, or is modifier -25 only appropriate on the highest level of E/M service?* Modifier -25 is intended to be appended to the appropriate level of E/M service to indicate that a significant, separately identifiable evaluation and management service was provided by the same physician on the same day of a procedure or other service. If code 99211 most accurately describes the E/M service provided, then it would be appropriate to append modifier -25 to code 99211. This modifier is not restricted to any particular...

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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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