tci E/M Coding Alert - 2013 Issue 5

Modifiers: Follow 3 Steps to Solidify Your Modifier 25 Use, Before Your Payers Come Knocking

Don’t confuse 25 and 57; look to the global period. Payers are scrutinizing and denying modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the same day of the procedure or other service) more than ever before. If you are attaching 25 to a significant portion of your provider’s E/M codes, you are sending up a red flag. Learn how to identify legitimate opportunities for separately identifiable E/M and procedure coding using modifier 25 with these three guidelines. 1. Ensure Your Provider Performed a Separate Service You...

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!