Modifiers: Master These 3 Modifier 25 Issues to Get Claims Paid

Article Overview

This premium coding article reviews common modifier 25 issues that can affect claim payment and audit risk. It focuses on documentation expectations for separate evaluation and management services, claim setup concerns, and how same-day procedures with or without a global period may affect whether the modifier is considered. The content is useful for coders, billers, auditors, and practice staff who want a clearer understanding of modifier 25 usage and related payer review concerns.