Primary Care Coding:
Look to Treatment Plan Changes When Considering Modifier 25 for New Patients
Published on Mon Dec 29, 2025
Question: An encounter note says a new patient was seen by a primary care physician for complete physical exam performed alongside an evaluation and management (E/M) service. The patient presented with several chronic but stable conditions that require ongoing monitoring and medication review. To ensure these conditions are not progressing, labs and diagnostic imaging were ordered and clearly linked to [...]