AMA CPT® Assistant - 2023 Issue 3 (March)

Reporting CPT Modifier 25 (March 2023)

March 2023 pages 1-12 Reporting CPT Modifier 25 A modifier provides the means to report or to indicate that a performed service or procedure was altered by some specific circumstance but not changed in its definition or code. Modifiers also enable health care professionals to effectively respond to payment-policy requirements established by other entities. These modifiers and their definitions are listed in Appendix A of the Current Procedural Terminology (CPT®) 2023 code set. Modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the...

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