tci General Surgery Coding Alert - 2005 Issue 12

3 Field-Tested Ways to Ease Your Modifier 25 Claims

Hint: You can use the same diagnosis to justify an E/M and a procedureThe AMA will provide a helpful clarification on when to append modifier 25 in CPT 2006, but if you-re seeking still more on how to ace your modifier 25 claims, here are three surefire tips. 1: Report Only -Significant- Services To gain separate payment for an E/M service the physician provides at the same time as another procedure or service, the E/M service must be both significant and separately identifiable.All procedures, from simple injections to common diagnostic tests, include an -inherent- E/M component, according to...

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