Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, above and beyond the usual pre- and post-operative care associated with the procedure or service performed.

Sep 12, 2024 · Use modifier 25 when an E/M service is performed on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Use our quick reference sheet and audit tool to determine when to use modifier 25, and which code to …

Modifier 25 is used to indicate that a patient’s condition required a significant, separately identifiable evaluation and management (E/M) service above and beyond that associated with another procedure or service being reported by the same physician or other qualified health care professional (QHP) on the same date. This service must be above

Modifier 25 - Significant, Separately Identifiable evaluation and management service by the same physician on the same day of the procedure or other service. · The purpose of this modifier is to indicate that a significant, separately identifiable E/M service

Questions about modifier 25 have increased since add-on code G2211 was implemented in 2024 to reflect the value primary care physicians provide to patients. Learn how to report modifier 25...

Modifier 25 is defined as a significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified health care professional on the same day of the procedure or other service.

Mar 25, 2022 · Modifier 25 is appropriate when an E/M service is provided on the same day as a minor procedure; defined as one with a 0-day or 10-day global period. Do not use modifier 25 when billing for services performed during a postoperative period if …

Sep 26, 2024 · Use Modifier 25 when performing a minor procedure on the same day as a significant, separate E/M service. Modifier 57: Used to indicate that an E/M service resulted in the initial decision to perform a major surgery (usually one with a 90-day global period).

Jan 22, 2025 · • Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, above and beyond the usual pre-and post-operative care associated with the procedure or service performed. • E/M service may occur on the same day as a procedure.

Modifier 25 Cheatsheet YES NO AMA’s definition 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.” *Special thanks to Melissa A. Briggs, CPC, CPMA, Coding Education