tci General Surgery Coding Alert - 2004 Issue 4

How to Use Modifier -25 for Same-Day Procedure and E/M

4 steps put you on the path to better reimbursementModifier -25 can be your best friend when reporting an E/M service on the same day as a procedure or other service, preventing payers from shortchanging you on valuable reimbursement dollars. But to use the modifier correctly, you must be sure that documentation supports your claim for a separate, significant E/M service.Don't let this happen to you: A new patient arrives with a complaint of rectal bleeding (569.3, Hemorrhage of rectum and anus). The surgeon provides an E/M service, spending 40 minutes taking the patient's history, performing an...

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