tci Part B Insider - 2010 Issue 39

Reader Questions: Stop Omitting 25 Because of Same Dx

Question: I was recently told in a class that you do not need different diagnosis codes to use modifier 25 for reporting an E/M service on the same date as a procedure. But I've been told many times in the past by certified coders that when I bill more than one procedure that I need to add modifier 25 to the E/M and point the primary diagnosis to the E/M and point a secondary diagnosis to the other procedure. Can you clear up my confusion?Answer: Proper modifier 25 (Significant, separately identifiable evaluation and management service by the same...

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