Wiki MOD 25 - 2 Providers, Same Specialty, Same DOS

[purnern19]

Oncology practice:

A pt is seen for an office visit by a provider and then has treatment therapy (chemo) by a different provider on the same day within the same practice and specialty. Would 25 modifier be added to the EM code for that day since it is two different providers?

 

[trarut]

IF the E/M performed is a separately identifiable service as supported by the documentation, you can use a 25 modifier. It doesn't matter that it is a different provider if they are part of the same group and billing under the same Tax ID number - the payer sees it all as the same entity.