DecisionHealth, DecisionHealth - 2025 Issue 12 (December)

Review the answers to 3 modifier 25 scenarios

Payers are still on the lookout for improper use of modifier 25, the modifier that allows the billing provider to unbundle an E/M visit from a procedure performed on the same date of service. Make sure you read the scenarios and decide whether you would report a separate E/M visit with modifier 25, then read the answers.

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