Wiki Modifier's 24 & 25 used together ?

carol52

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I need help with these 2 modifiers 24, & 25, durring pt's 90 day global was seen for hospital observation cpt 99236 and same day EGD w/ Dilatation 43249. I'm thinking I need a 24 & 25 for the E & M code and 79 for the EGD. Medicare is payer. Appreciate any feedback.
 
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