tci E/M Coding Alert - 2018 Issue 8

Mythbusters: Bust These Modifier Myths for Maximum Reimbursement

Global days key to modifier 24/25 decision. Because they look so similar, modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) and modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service) are subject to some common coding myths. But knowing the difference between the two could mean saving valuable work hours and gaining even more valuable revenue. That’s why we asked our experts to take a...

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