Use 3 checklists to affirm correct use of common E/M modifiers

Why This Topic Matters

These modifiers are frequent sources of denials and documentation problems. Understanding the article can help readers assess whether the guidance is relevant to their E/M and surgical billing workflows.

Article Sections

1. Introduction

   An overview of the three modifiers discussed in the article and the general compliance concerns tied to their use.

2. Master modifier 24

   General guidance on the first modifier, including the types of service categories referenced and the importance of documentation.

3. Modifier 24: When to avoid it

   A checklist of situations where this modifier should not be considered, along with related post-procedure and documentation contexts.

4. Achieve compliance with modifier 25

   Discussion of the second modifier, with broad examples of separate services and the need to distinguish evaluation from procedure-related work.

5. Modifier 25: Check your boxes

   Checklist-style considerations for determining whether the second modifier is relevant in a given encounter.

6. Be decisive with modifier 57

   General guidance on the third modifier and the timing concepts tied to surgical decision-making.

7. Modifier 57: Tips to use and to refrain

   A practical checklist identifying broad circumstances where this modifier is discussed as appropriate or inappropriate.