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E/M Level with additional procedure

  1. Default E/M Level with additional procedure
    Medical Coding Books
    Should an E and M level be reduced when adding modifier 25 and performing additional procedure in the Emergency Room? I am coding for the physician's services. The situation would be the initial splinting of a fracture after diagnosing the fracture in the ER.

    Thanks for your help.

  2. #2
    The E/M level is chosen based on the separately identifiable evaluation and management service that is provided in addition to the procedure and related services, so it wouldn't need to be reduced when adding the 25 modifier.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    National Advisory Board Member 2018-2021, Region 6 Great Lakes

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