Neurosurgery Coding Alert

You can still report E/M services that go 'above and beyond' pre-op work

While your modifier 25 claims may come under additional scrutiny soon, you now have clear guidelines to follow when you-re considering the modifier, thanks to a new transmittal from the Centers for Medicare & Medicaid Services. Follow these tips to make sure your physician's documentation supports appending modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service). Take Note of 3 Key Points Your documentation supporting your use of modifier 25 will be under heavy scrutiny soon, judging from Transmittal 954, issued May 19 by CMS.

Clarification #1: CMS has added the word -usual,- so the guidelines for modifier 25 now read: -a significant, separately identifiable E/M service that is above and beyond the usual pre- and postoperative work for the service.- The addition is meant to emphasize that any extra E/M service must be -above and beyond- the typical pre-op or post-op work, says Quinten Buechner with ProActive Consultants in Cumberland, Wis.

Clarification #2: Transmittal 954 specifically indicates that you don't need a different diagnosis for the E/M service and surgery to be able to use modifier 25. Remember, however, that many private carriers demand separate diagnoses before paying for the E/M service as well as the procedure--even though this contradicts CPT guidelines.

Clarification #3: As before, you-ll now also need to make sure you have appropriate documentation that proves the medical necessity of the separate same-day E/M service your neurosurgeon provided. You don't need to submit this documentation with the claim, but it must be available upon request. Stress -Significance- in Documentation The guidelines for using modifier 25 haven't actually changed, says Stacie L. Buck, RHIA, CCS-P, LHRM, vice president of Southeast Radiology Management in Stuart, Fla. -CMS is issuing clarification in light of the findings in the OIG's report on modifier 25.- The Office of Inspector General found a 35 percent error rate for modifier 25--and $538 million in improper payments--in its sample of claims from 2003.

But it's safe to say your modifier claims will be under more scrutiny. -I strongly believe providers will see more and more claims with 25 subjected to pre- and postpayment review because of the OIG findings,-  Buck adds.

Be proactive: All procedures, from simple injections to common diagnostic tests, include an -inherent- E/M component, according to CMS guidelines. Therefore, any E/M service you report separately must go -above and beyond- the minimal evaluation and management that normally accompanies such a procedure.

If there isn't an identifiable medical question that's being asked and answered--such as, -Is this procedure still the correct treatment?---the physician likely hasn't provided a separately identifiable [...]