Mythbusters: Bust These Modifier Myths for Maximum Reimbursement

Why This Topic Matters

Correct modifier use can affect claim accuracy, documentation support, and reimbursement in frequently encountered surgical and office visit situations.

Article Sections

1. Global days key to modifier 24/25 decision

   Introduces the article’s focus on distinguishing commonly confused E/M modifiers and sets up the discussion of postoperative and same-day service scenarios.

2. Myth: You Can Append Modifier 24 if E/M Service Related to Original Surgery

   Discusses a postoperative E/M scenario and the documentation themes associated with unrelated encounters during a global period.

3. Myth: Modifier 25 Applies to Major Procedures

   Covers a same-day E/M and procedure scenario and the broader distinction between separate evaluation services and procedures with differing global periods.