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Wiki Modifiers in the ED

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gwoodruff

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I needs some help??? I have experience in Hospital ED coding, whereby I was coding both the pro and tech side. We always appended the 25 modifier to the tech side e/m level, when a suture was performed.
I am now coding just the pro side for e/r physicians and hospitalists. Could you please explain why I would put the 25 mod on the pro side?

Thanks in advance,

Maria Kast, RHIT
 
I was taught to use Modifier -25 on the E&M when the procedure has any global days.

Physicians and qualified nonphysician practitioners (NPP) should use CPT modifier -25 to designate a significant, separately identifiable E/M service provided by the same physician/qualified NPP to the same patient on the same day as another procedure or other service with a global fee period.

Article here.

Another one here.

I hope this helps.

Amy
 
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