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Modifiers 101: Proving Separate E/M Services Makes for Modifier 25 Success

Published in Neurology & Pain Management Coding Alert, June 2010

Avoid overusing this modifier and soliciting an audit with four tips.
If you find yourself especially overwhelmed and confused by modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service), you’re not alone. Luckily, you can use these four criteria to determine whether modifier 25 is right for your neurology coding assignment.
1. Modifier 25 is for E/M Only
You can only consider reporting modifier [...]


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Published in Neurology & Pain Management Coding Alert, June 2010
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