Wiki Modifier 25

[dsartori]

So, it has been brought to my attention that you can NOT use a modifier 25 on the office visit when you are coding fracture care in the office! Does anyone have any proof that you CAN use a modifier 25 on the E&M as well as a fx care code?

 

[Lisa Bledsoe]

Modifier -25 is used on the E/M code when it meets significant separate identifiable status, when a procedure of 0-10 gloal days is performed on the same date. Modifier -57 is the appropriate modifier to use on an E/M if it meets the significant separate identifiable status, on the same date as a fracture care code - which has a 90 day global.