How to Use Modifier 25 - AAFP
Understand when to use modifier 25 so that you are paid correctly as well as how it affects the new add-on code G2211.
Are You Using Modifier 25 Correctly? - AAPC Knowledge Center
Mar 25, 2022 · Modifier 25 indicates that additional reimbursement is needed to account for the extra E/M work. The key is recognizing when the additional work is “significant” and, therefore, …
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 …
Modifier 25 fact sheet - Novitas Solutions
Use modifier 25 with the appropriate level of E/M service. Modifier 25 indicates on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, …
Appropriate Use of Modifier 25 - American College of Cardiology
The Current Procedural Terminology (CPT) definition of Modifier 25 is as follows: Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when …
Modifier 25 Guide: Proper Usage, Billing, and Documentation
Modifier 25 is a CPT (Current Procedural Terminology) code modifier used in medical billing to indicate that an Evaluation and Management (E/M) service provided on the same day as a …
25 - JE Part B - Noridian
Modifier 25 Significant, separately identifiable Evaluation and Management (E/M) by the same physician or other qualified health care professional on the same day of the procedure or other …
Jurisdiction M Part B - CPT Modifier 25 - Palmetto GBA
Feb 14, 2023 · CPT modifier 25 is used for significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service.
Modifier 25 Tip Sheet - Novitas Solutions
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 …
Modifier 25: The Little CPT Code that Could - Net Health
Apr 28, 2025 · Modifier 25 is a CPT code modifier that indicates a significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified …