tci E/M Coding Alert - 2013 Issue 5

Modifier 25 vs. Modifier 57

Your modifier 25 claims should meet all of the following criteria: The E/M occurs on the same day as the surgical procedure; The procedure following the E/M is minor (has a zero or 10-day global period); and The E/M service is both significant and separately identifiable from any inherent E/M component, and that the procedure involves the same physician (or one with the same tax ID) provides the E/M service and the subsequent procedure. Note that the diagnosis associated with the E/M service can be the same as the diagnosis associated with the same-day procedure, which means that the...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!