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ED Coding and Reimbursement Alert

Modifier Madness, Part 2:

Get 25/57 Claims Right by Separating E/M

Published on Tue Mar 14, 2023

Billable E/M service might be obvious, but never assume it. When your ED provider performs a significant, separately identifiable evaluation and management (E/M) service in addition to a surgical procedure, you need modifier smarts to separate a codeable E/M from the E/M that is built into the relative value units (RVUs) of the surgery. Recap: In January, we discussed examples [...]
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