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modifier 25 examples

Modifier 25 Examples

September 7, 2020Modifiers 2

Modifier 25 Definition The Current Procedural Terminology (CPT) book defines Modifier 25 as a significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service. It may be necessary to indicate that on the day a procedure or service identified by a CPT code was […]

Using Modifier 25 in Wound Care? Exercise Caution

March 17, 2020Modifiers Wound Care

Medicare and other providers have increased scrutiny of modifier 25, which is used when something “distinct and different” is needed on the same day as an evaluation and management (E&M) service. The Office of the Inspector General (OIG) has identified modifier 25 as a potential area of overuse or misuse, thereby increasing the potential for […]