Urology Coding Alert

Without excellent documentation from your urologist, you'll be forced to skip separate E/M coding.If you automatically append modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to every E/M service your urologist performs on the same day that he also performs a procedure, you're asking for an audit. Unlock the secrets to legitimate coding and reimbursement for separately identifiable E/M services using modifier 25 with these three guidelines.1. Ensure Your Urologist Performed a Separate ServiceYou should use modifier 25 when your urologist's documentation supports that he performed an E/M service that was significant and separately identifiable from the work included in another service or procedure.When you're reviewing your urologist's documentation you need to be able to clearly identify the separate service before you can append modifier 25. "Look at the documentation and cross out anything that [...]