Practice Management Alert

Coding:

Rely on Modifier 25 to Procure Separate E/M Payment

E/M-25 service must exceed E/M built into procedure code. If your physician performs a procedure and a separate evaluation & management (E/M) service for the same patient during the same encounter, you might be able to report an E/M code in addition to the procedure. How? The E/M service must be separately identifiable, and you must append modifier 25 (Significant, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.