Pulmonology Coding Alert

Do you have the same coding conclusions as our experts?As you may already know, you have three easy ways to gauge when you're on the right track with reporting modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service):Verify the service is significantCheck for additional workLook for service "pre-planning."The rationale of modifier 25 is that the physician may need to indicate that on the day a procedure or service identified by a CPT code was performed, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed.Now take a look at the coding examples we are sharing and check your answers against our experts' advice.Scenario 1: A Semi-Planned Follow-Up VisitYour allergist sees Mrs. Jones in the [...]