AMA CPT® Assistant - 2008 Issue 1 (January)

Modifiers (January 2008)

January 2008 page 9-end Modifiers, 25 (Q&A) Question: In Appendix A of the 2008 CPT codebook, the explanatory language of modifier 25, Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service, does not include the term physician in the opening sentence. Can physicians report modifier 25 for an evaluation and management service? Answer: The explanatory language for modifier 25 was revised for CPT 2008 to remove the term physician in the opening sentence to avoid appearing to prohibit other qualified health care professionals who may use...

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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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