AMA CPT® Assistant - 2012 Issue 3 (March)

Modifiers 25 and 59 (March 2012)

March 2012 pages 4-7 Modifiers 25 and 59 The two-digit code modifiers, listed in Appendix A of the CPT codebook, are provided to indicate that special circumstances may apply to the reported service(s) or procedure(s). This article will discuss the appropriate use of modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service, appended to Evaluation and Management (E/M) services, and the appropriate use of modifier 59, Distinct Procedural Service, appended to other procedural services described in the CPT codebook. This article will further provide examples...

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