Tuesday, December 8, 2009

How should modifier "-25" be reported under the CCI?

Question: How should modifier "-25" be reported under the CCI?

Answer : Modifier "-25" should be appended to an evaluation and management (E/M) code when reported with another procedure on the same day of service. Appending modifier -25 to the E/M code indicates to the carriers or fiscal intermediaries that as a result of the patient's condition, the physician performed a significant, separately identifiable E/M service above and beyond the other service provided.

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