AMA CPT® Assistant - 2003 Issue 5 (May)

Use of Modifiers -25 and -57 (May 2003)

May 2003 pages 17-18 Coding Update:Use of Modifiers -25 and -57 Some of the most commonly asked questions about coding involve the use of modifiers '-25' and '-57.' Although it may seem like we've written volumes about it, there is clearly still some confusion surrounding appropriate reporting methods. So let's take another look at modifier '-25' and '-57.' -25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service: The physician may need to indicate that on the day a procedure or service identified by a...

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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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