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Orthopedic Coding Alert

Case Study Corner:
Use These Examples to Illustrate Modifier 25 in Action

Here's a look at a pair of common modifier 25 scenarios. Individual cases always vary, but the majority of modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service) claims involve two general types of patient encounters: Same problem for E/M, [...]


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