Modifier 25:
Two Major Payers Change Modifier 25 Policies
Published on Thu Jul 10, 2014
You’ll need a new diagnosis for E/M payment from Tufts. Most pediatric practices use modifier 25 multiple times a day to let insurers know that they deserve separate payment for E/M visits done with procedures—but one payer has cracked down on sending you payment for these services. Background: Modifier 25 (Significant, separately identifiable evaluation and management service by the same [...]