AMA CPT® Assistant - 1998 Issue 9 (September)

Appropriate Use of Modifier -25 (September 1998)

September 1998 pages 4-6 Coding Communication Appropriate Use of Modifier -25 Modifier -25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of a Procedure or Other Service The physician may need to indicate that on the day a procedure or service identified by a CPT code was performed, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. This circumstance may be reported by adding the modifier -25 to the...

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