AMA CPT® Assistant - 2004 Issue 12 (December)

Modifier 25: Making the Right Decisions, Part II (December 2004)

December 2004 pages 1-5 Modifier 25: Making the Right Decisions, Part II In Part I of this series featured within the November 2004 issue of CPT Assistant, the essential guidelines for using modifier 25 were explained. Part II concludes the series with an explanation of the key provisions of modifier 57 to distinguish it from modifier 25. Also included is an explanation of how the 2004 deletion of the starred procedure designation affects the use of both modifiers and a concise reference guide for modifiers 25 and 57. Distinguishing Between Modifier 25 and 57 Both modifiers 25 and 57...

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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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