E/M Services Call for Modifier 25, But Only When Necessary

September 2010
Medicare Compliance & Reimbursement;9/20/2010, Vol. 36 Issue 18, pp140
Trade Publication
The article offers tips on the proper use of Modifier 25 in health insurance claims in the U.S. It mentions that Modifier 25 is only used for evaluation and management (E/M) services, hence, procedures that do not fall under E/M services qualify another modifier. It notes that the modifier should only be used in minor procedures, as defined by Medicare, that has a 0- or 10-day global period.


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