CPT® Assistant (March 2023): Get official modifier 25 examples


The March 2023 CPT® Assistant takes on the topic of modifier 25, including the major bullet points you need to know and examples for different specialties.

To find this article and more from Volume 33, Issue 3, subscribers can select Q1 of 2023 on the Code Connect search page, and click on these topics, which focus on the codes shown:

  • E/M consultation services, 2023: 99242-99245, 99252-99255, 99417, 99418
  • Interprofessional telephone services: 99446-99449, 99451
  • Modifier 25: 99202-99215, 25
  • Percutaneous arteriovenous fistula creation: 36836, 36837
  • Postoperative removal of sutures or staples: 15851, 15853, 15854

The March issue also includes a Questions and Answers section covering these topics and codes:

  • Cardiovascular system
    • Aortic valve replacement, root enlargement: 33411, 33414
    • Vein transposition, pelvic pain: 34520, 37799
  • Category III, valve-in-valve replacement: 0483T
  • Digestive system
    • Adjacent tissue transfer, posterior rectus sheath release, hernia repair: 49652, 22
    • Repair iatrogenic injury
  • Integumentary system, artificial/augmented intelligence, alopecia
  • Musculoskeletal system, exertional compartment syndrome testing: 20950, 50
  • Pathology and laboratory, familial hypercholesterolemia panel: 81406, 81479
  • Radiology, transvaginal ultrasound, adnexa report: 76830
  • Respiratory system, posttraumatic reconstruction time frame: 32820


Note: Tools and data available may vary based on your Codify by AAPC package.