DecisionHealth, DecisionHealth - 2023 Issue 6 (June)
Top codes with modifier 25: ED, eye exams, critical care stand out
Look to emergency department visits, eye exams and critical care services if you’re running an assessment of claims involving the sometimes-tricky rules for modifier 25 (Significant, separately identifiable E/M service by the same physician or other qualified healthcare professional on the same day of the procedure or other service). Outside of office visits, those services topped the list of most-used code combinations with the same-day E/M modifier.
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