Otolaryngology Coding Alert

Modifier 25:

Avoid These Traps When Reporting Modifier 25 and Know That 'Separate' Is Justified

Here’s your top ‘do’ and ‘don’t’ for correct usage. Appending modifiers to your claims can better explain your otolaryngologist’s services and possibly boost your bottom line – or can lead to denials or other problems when used improperly. Increase your chances of success by steering clear of two common traps when reporting modifier 25 (Significant, separately identifiable evaluation and management [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Otolaryngology Coding Alert

View All